Organization
DAMON MATTHEW ELLIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMON MATTHEW ELLIS OD (OWNER)
(661) 948-6310
Entity
Organization
Contact information
Practice address
1306 W AVENUE J STE B, LANCASTER, CA 93534-2936
(661) 948-6310
(661) 948-6880
Mailing address
1306 W AVENUE J STE B, LANCASTER, CA 93534-2936
(661) 948-6310
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/06/2024
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