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

NICHOLAS ELLIS, LDO

Active

NICHOLAS ELLIS, LDO is a Optician, Dispensing healthcare provider located in SHELBYVILLE, Tennessee. NPI 1841996121 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · SHELBYVILLE, TN

Registration Details

NPI Number
1841996121
Provider Type
Individual
Gender
Male
NPI Issued
Feb 7, 2023 (3.4736656161336 yrs)
Last Updated
Feb 7, 2023
License
2451 (TN)

Practice Information

Address
875 UNION STREET
SHELBYVILLE, TN, 37160
Browse TN providers · Browse ZIP 37160
Phone
9314885778
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in SHELBYVILLE, TN

Name Credential NPI
SANDRA LUPO LDO 1285330597
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.