Individual
DR. ELLYN ELAINE FEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
417 E COMMERCIAL AVE, LOWELL, IN 46356-1814
(219) 696-3000
(219) 696-2205
Mailing address
417 E COMMERCIAL AVE, LOWELL, IN 46356-1814
(219) 696-3000
(219) 696-2205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002169B
IN
Other
Enumeration date
04/17/2006
Last updated
05/21/2009
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