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Individual

DR. JAMIE A ELLSWORTH-NEIMAN

Active
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Individual

DR. JAMIE A ELLSWORTH-NEIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPTOMETRIST

Taxonomy

Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
OEG000343
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1632843
BLUE SHIELD
PA
01
2248
AETNA HMO
PA
01
2308338000
KEYSTONE EAST
PA
Enumeration date
08/12/2006
Last updated
07/08/2007
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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