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

DOUGLAS WILLIAM ELLENBERGER, OD

Active

DOUGLAS WILLIAM ELLENBERGER, OD is a Optometrist healthcare provider located in AUGUSTA, Georgia. NPI 1841588555 is currently active in the NPPES registry. Verify at CMS.

Optometrist · AUGUSTA, GA

Registration Details

NPI Number
1841588555
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2011 (15.125262797937 yrs)
Last Updated
Mar 14, 2016
License
OPT002659 (GA)

Practice Information

Address
1330 INTERSTATE PKWY
AUGUSTA, GA, 309095625
Browse GA providers · Browse ZIP 30909
Phone
7066512020
Fax
7066512032
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in AUGUSTA, GA

Name Credential NPI
DR. TIMOTHY K TIPPETT OD 1770575649
DR. GURINDER SINGH PARMAR O.D. 1104817691
DALE E PATRICK O.D. 1396715819
DR. JEFFERY L SPONSELLER OD 1033177563
MR. MATTHEW S HAUBERT OD 1548286107
DR. TRACIE L SPONSELLER OD 1861400517
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.