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

Dr. Jamie A Ellsworth-Neiman, OPTOMETRIST

Individual provider Pediatric Optometrist · NPI 1477565224

Dr. Jamie A Ellsworth-Neiman, OPTOMETRIST is a Pediatric Optometrist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone: (215) 276-6000
Fax: (215) 276-1329
Show map & directions

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

Specialties & licences

Pediatric Optometrist (primary) Taxonomy 152WP0200X · Licence OEG000343 (PA)

Record details

NPI number1477565224
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTOMETRIST
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESJuly 8, 2007

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