NPI 1891972048

Ellis Optical Shoppe LLC

Organisation Eyewear Supplier Meridian, MS

Practice location

Address: 2318a 12th St, Meridian, MS 39301-3933
Phone: (601) 483-1172

Authorised official

Name: Jonathan Evans Ellis
Title: Dispensing Optician
Phone: (601) 483-1172

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Mississippi →

Registry record

NPI: 1891972048
Entity type: Organization
NPI issued: 29 Jan 2008
Record last updated: 28 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.