Organization
JERRY NORTHCUTT, PLLC
Active
Other names
Ellis County Eye Center, Ellis County Eye Center, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEE NORTHCUTT OD (PRESIDENT)
(972) 875-3181
Entity
Organization
Contact information
Practice address
2405 YORKSTOWN DR, ENNIS, TX 75119-2191
(972) 875-3181
(972) 875-6443
Mailing address
2405 YORKSTOWN DR, ENNIS, TX 75119-2191
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5150TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192957-01
—
TX
Enumeration date
08/17/2005
Last updated
03/19/2026
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