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

Dr. Ingrid A Ellison, MD

Individual provider Optometrist · NPI 1205903556

Dr. Ingrid A Ellison, MD is an Optometrist in Hiram, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4795 Jimmy Lee Smith Pkwy Ste 101
Hiram, GA 30141-2792
Phone: (770) 222-6362
Fax: (866) 528-7115
Show map & directions

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

Specialties & licences

Ophthalmic Technician/Technologist (primary) Taxonomy 156FX1100X · Licence 45207 (GA)
Optometrist Taxonomy 152W00000X · Licence 45207 (GA)

Record details

NPI number1205903556
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESFebruary 8, 2013
Mailing address4795 Jimmy Lee Smith Pkwy, Suite 101, Hiram, GA 30141-2792

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