Individual
DR. CHRISTOPHER ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 S 31ST ST, SUITE3305, TEMPLE, TX 76502-1956
(254) 771-5263
Mailing address
3111 S 31ST ST, SUITE3305, TEMPLE, TX 76502-1956
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5240TG
TX
152WC0802X
Corneal and Contact Management Optometrist
5240TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195976-4
—
TX
Enumeration date
07/27/2006
Last updated
09/11/2025
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