Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen L. Ellsworth, OD Inc

Organization Optometrist · NPI 1568642890

Ellen L. Ellsworth, OD Inc is an Optometrist in Mentor, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9930 Johnnycake Ridge Rd Ste 4B
Mentor, OH 44060-6752
Phone: (440) 352-8031
Fax: (440) 352-7671
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4277 T228 (OH)

Record details

NPI number1568642890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Ellsworth — President · (440) 352-8031
NPI enumeratedNovember 3, 2007
Last updated in NPPESJuly 2, 2008
Mailing address9930 Johnnycake Ridge Rd, Suite 4b, Mentor, OH 44060-6752

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