| NPI | 1083894943 |
|---|---|
| Doing Business As | ELLIS FAMILY EYECARE |
| Entity Type | Organization |
| Authorized Contact | JOHN SCOT ELLIS Optometric Physician 1856-875-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00505600) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2012-02-10 |