Individual
BRITTANY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2809
OK
152W00000X
Optometrist
Primary
3780
TN
152W00000X
Optometrist
5857
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2809
OPTOMETRY LICENSE
OK
01
—
3780
OPTOMETRY LICENSE
TN
01
—
5857
OPTOMETRY LICENSE
OH
01
—
T2771
THERAPEUTIC CERTIFICATE
OH
Enumeration date
09/30/2009
Last updated
05/15/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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