Ellis, Olivia Mae

Ellis, Olivia Mae is an individual health care provider with primary practice located at 6819 Waltons Ln , Gloucester VA 23061-6113. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Ellis, Olivia Mae can be contacted via phone (804) 693-2623.

Contact Information

Primary practice address
6819 Waltons Ln Gloucester VA 23061-6113
Phone: (804) 693-2623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1101004052 Virginia

Profile Details

NPI number 1164290706
LBN Legal business name Ellis, Olivia Mae
Credentials LDO, ABOC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2023
Last updated Dec 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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