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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR

Active Organization

L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR is a Optometrist organization located in MODESTO, California. NPI 1760558498 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MODESTO, CA

Registration Details

NPI Number
1760558498
Provider Type
Organization
NPI Issued
Nov 27, 2006 (19.697158716369 yrs)
Last Updated
Feb 1, 2013
License
FNP88 (CA)

Practice Information

Address
3601 COFFEE RD
MODESTO, CA, 95355
Browse CA providers · Browse ZIP 95355
Phone
2095211028
Fax
2095217488
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.