Dr. Ingrid A Ellison
Optometrist Ophthalmic
4795 Jimmy Lee Smith Pkwy Suite 101
Hiram
, Georgia 30141-2792
Dr. Ingrid A Ellison
Optometrist Ophthalmic
4795 Jimmy Lee Smith Pkwy Suite 101
Hiram
, Georgia 30141-2792
(866) 528-7115
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About
Features
Specialties
- Optometrist
- Ophthalmic
Languages spoken
- English
Location
First Address
- Dr. Ingrid A Ellison
- 4795 Jimmy Lee Smith Pkwy Suite 101
- Hiram, GA
- Zip : 30141-2792
- Fax : (866) 528-7115
- Phone : (770) 222-6362
Second Address
- Dr. Ingrid A Ellison
- 4795 Jimmy Lee Smith Pkwy Suite 101
- Hiram, GA
- Zip : 30141-2792
- Fax : (866) 528-7115
- Phone : (770) 222-6362
Reviews
FAQs
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Is Dr. Ingrid A Ellison a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 45207 | GA |
| Y | 156FX1100X | Ophthalmic | 45207 | GA |
National Provider Identifier
| NPI | 1205903556 |
|---|---|
| Provider Name | Dr. Ingrid A Ellison |
| First Address | Hiram, GA 30141-2792 |
| Second Address | Hiram, GA 30141-2792 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2006 |
| Last Update Date | 08/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| HO3376 | (02) | GA |
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.