Individual
DR. MARTIN G ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3018 STATE ROUTE C, CORTLAND, OH 44410
(330) 638-4097
(330) 637-0140
Mailing address
3018 STATE ROUTE 5 STE C, CORTLAND, OH 44410-9236
(330) 638-4097
(330) 637-0140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3343T420
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0373359
—
OH
Enumeration date
11/13/2006
Last updated
01/26/2026
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