Dr. Alexander Tyler Elson
Optometrist Pediatric Optomitrist Optomitrist - Corneal and Contact Lenses
17300 17th St #m
Tustin
, California 92780-1955
Dr. Alexander Tyler Elson
Optometrist Pediatric Optomitrist Optomitrist - Corneal and Contact Lenses
17300 17th St #m
Tustin
, California 92780-1955
(949) 338-7027
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
- Pediatric Optomitrist
Languages spoken
- English
Location
First Address
- Dr. Alexander Tyler Elson
- 39 Tarocco
- Irvine, CA
- Zip : 92618-0304
- Phone : (949) 338-7027
Second Address
- Dr. Alexander Tyler Elson
- 17300 17th St #m
- Tustin, CA
- Zip : 92780-1955
- Phone : (714) 838-9664
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 33390 | CA |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 33390 | CA |
| N | 152WP0200X | Pediatric Optomitrist | 33390 | CA |
National Provider Identifier
| NPI | 1073962163 |
|---|---|
| Provider Name | Dr. Alexander Tyler Elson |
| First Address | Irvine, CA 92618-0304 |
| Second Address | Tustin, CA 92780-1955 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2016 |
| Last Update Date | 09/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.