Organization
BLAIR AND ELLIS P.A.
Active
Other names
University Vision Centre
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L ELLIS II O.D. (CO OWNER)
(915) 533-1811
Entity
Organization
Contact information
Practice address
3800 N MESA ST STE B1, EL PASO, TX 79902-1535
(915) 533-1811
(915) 533-3641
Mailing address
3800 N MESA ST STE B1, EL PASO, TX 79902-1535
(915) 533-1811
(915) 533-3641
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160388801
—
TX
05
—
180559001
—
TX
01
—
35FC
BLUE CROSS BLUE SHIELD
TX
05
—
96256028
—
NM
Enumeration date
03/15/2007
Last updated
08/13/2020
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