Organization
LEE, ELLERMAN, AND ASSOCIATES, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ELLERMAN O.D. (PARTNER)
(478) 452-2611
Entity
Organization
Contact information
Practice address
223 S MAIN ST, MADISON, GA 30650-1351
(706) 343-1876
Mailing address
223 S MAIN ST, MADISON, GA 30650-1351
(706) 343-1876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA002022
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000743399K
—
GA
01
—
1679661250
NPI PERRY LEE
—
01
—
1730168485
NPI ELLERMAN
—
05
—
465525028A
—
GA
01
—
CK7619
LEE MEDICARE RAILROAD GROUP
GA
01
—
DB6414
ELLERMAN MEDICARE RAILROAD GROUP
GA
01
—
P00113847
LEE RAILROADE MEDICARE ID
GA
01
—
P00119368
ELLERMAN RAILROAD MEDICARE ID
GA
Enumeration date
06/21/2007
Last updated
05/06/2008
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