Individual
CHARNE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 HUGUENOT RD, MIDLOTHIAN, VA 23113-2428
(804) 794-3937
Mailing address
1601 HUGUENOT RD, MIDLOTHIAN, VA 23113-2428
(804) 794-3937
(804) 794-9216
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3889
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/11/2024
Last updated
11/21/2025
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