Individual
DR. DONALD ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3607 ALOMA AVE STE 1081, OVIEDO, FL 32765-8811
(407) 678-9151
(407) 965-3309
Mailing address
3607 ALOMA AVE STE 1081, OVIEDO, FL 32765-8811
(407) 678-9151
(407) 965-3309
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621169100
—
FL
Enumeration date
08/20/2006
Last updated
08/15/2022
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