Jason Lee Ellen, O.D.
Optometrist · Jenks, OK
Practice location
244 S. Gateway PlaceSuite 401
Jenks, OK 74037
- Phone
- (918) 747-2020
- Fax
- (918) 747-2056
NPI record
- NPI
- 1962405928
- Entity type
- Individual (Type 1)
- Enumeration date
- May 24, 2005
- Last updated
- March 22, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
2272 | OK |
About Dr. Ellen
Jason Lee Ellen, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 244 S. Gateway Place, Suite 401, Jenks, OK 74037. The NPI number 1962405928 was assigned on May 24, 2005 and the record was last updated on March 22, 2019.
Dr. Ellen lists a license in the registry: #2272 (OK) 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 Jason Lee Ellen, O.D.?
The NPI number is 1962405928.
What is the phone number of Dr. Ellen?
The phone number listed for the practice location is (918) 747-2020.
Where is Dr. Ellen located?
244 S. Gateway Place, Suite 401, Jenks, OK 74037.
What is the taxonomy code for Dr. Ellen?
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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