L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr
L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr is an Optometrist in Modesto, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
3601 Coffee RdModesto, CA 95355
Phone: (209) 521-1028
Fax: (209) 521-7488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence FNP88 (CA) |
|---|
Record details
| NPI number | 1760558498 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | L Elliott — Doctor Of Optometry · (209) 521-1028 |
| NPI enumerated | November 27, 2006 |
| Last updated in NPPES | February 1, 2013 |
| Mailing address | 3601 Coffee Rd, Modesto, CA 95355 |
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