Organization
ELLISON EYECARE LTD. CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD F. ELLISON O.D. (OFFICER)
(407) 971-9518
Entity
Organization
Contact information
Practice address
1039 HARLEY STRICKLAND BLVD, ORANGE CITY, FL 32763-7979
(386) 774-0044
Mailing address
5545 MISTY WOOD CT, OVIEDO, FL 32765-6612
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OPC4124
FL
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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