# ELLIS OPTICAL CO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447266259
- **Authorized official:** MR. DAVID L KNAPPENBERGER ABOC (PRESIDENT OWNER)
- **Authorized official phone:** (610) 866-8972

## Contact information

- **Practice address:** 1444 LINDEN ST, BETHLEHEM, PA 18018-2600
- **Practice address phone:** (610) 866-8972
- **Practice address fax:** (610) 865-2466
- **Mailing address:** 1444 LINDEN ST, BETHLEHEM, PA 18018-2600
- **Mailing address phone:** (610) 866-8972
- **Mailing address fax:** (610) 865-2466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | 6000005530DEVICES | PA | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 08/22/2020