NPI 1417975079

Scott J Ellis, OD

Practitioner Optometrist Elk City, OK

Practice location

Address: 920 N Main St, Elk City, OK 73644-2829
Phone: (580) 243-1121
Fax: (580) 243-1145
Mailing address: PO Box 9, Elk City, OK 73648-0009

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2331 (OK)

Other Optometrist providers in Oklahoma →

Registry record

NPI: 1417975079
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 5 Mar 2024

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.