Individual
MR. STEVEN LEE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
142 HIGHWAY 35, EATONTOWN, NJ 07724-1876
(732) 542-0300
Mailing address
23 HIGHLAND AVE, RED BANK, NJ 07701-2226
(732) 842-4789
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00622000
NJ
Other
Enumeration date
09/16/2009
Last updated
11/29/2021
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