John Ellison, O.D.

Optometrist · Roy, UT

Individual Active NPI

NPI number 1376713586

Practice location

5421 S 1900 W
Roy, UT 84067-2908
Phone
(801) 825-9703

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NPI record

NPI
1376713586
Entity type
Individual (Type 1)
Enumeration date
March 4, 2008
Last updated
November 12, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 6617396-9934 UT

About Dr. Ellison

John Ellison, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 5421 S 1900 W, Roy, UT 84067-2908. The NPI number 1376713586 was assigned on March 4, 2008 and the record was last updated on November 12, 2018.

Dr. Ellison lists a license in the registry: #6617396-9934 (UT) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Ellison, O.D.?

The NPI number is 1376713586.

What is the phone number of Dr. Ellison?

The phone number listed for the practice location is (801) 825-9703.

Where is Dr. Ellison located?

5421 S 1900 W, Roy, UT 84067-2908.

What is the taxonomy code for Dr. Ellison?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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