Individual
DR. ANNA MARIA LOUISE ELLSESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
30588 CENTER RIDGE RD, WESTLAKE, OH 44145
(440) 892-5367
(440) 249-5094
Mailing address
30588 CENTER RIDGE RD, WESTLAKE, OH 44145
(440) 892-5367
(440) 249-5094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1657T
KY
152W00000X
Optometrist
5569
OH
152W00000X
Optometrist
Primary
5569/T2483
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3016711
—
OH
Enumeration date
10/27/2006
Last updated
02/03/2012
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