Dr. William Ellis
Ophthalmic
6500 Fairmount Ave
El Cerrito
, California 94530-3667
Dr. William Ellis
Ophthalmic
6500 Fairmount Ave
El Cerrito
, California 94530-3667
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About
Features
Specialties
- Ophthalmic
Languages spoken
- English
Location
First Address
- Dr. William Ellis
- 6500 Fairmount Ave
- El Cerrito, CA
- Zip : 94530-3667
- Phone :
Second Address
- Dr. William Ellis
- 6500 Fairmount Ave
- El Cerrito, CA
- Zip : 94530-3667
- Fax : (510) 524-1887
- Phone : (510) 525-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1100X | Ophthalmic | G19742 | CA |
National Provider Identifier
| NPI | 1619029352 |
|---|---|
| Provider Name | Dr. William Ellis |
| First Address | El Cerrito, CA 94530-3667 |
| Second Address | El Cerrito, CA 94530-3667 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G197420 | (05) | CA |
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.