Individual
DR. JOHN S ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
691 ROUTE 9 S, MILLERS MALL - UNIT 4, LITTLE EGG HARBOR TWP, NJ 08087-4020
(609) 294-8144
(609) 812-5190
Mailing address
691 ROUTE 9 S, MILLERS MALL - UNIT 4, LITTLE EGG HARBOR TWP, NJ 08087-4020
(609) 294-8144
(609) 812-5190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA05056
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630717YCT
MEDICARE PTAN
NJ
Enumeration date
02/27/2006
Last updated
02/10/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us