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

Individual provider Ophthalmology Physician · NPI 1174626311

Nicholas Ellyn, MD is an Ophthalmology Physician in Alexandria, Virginia. Practices as a sole proprietor. Licensed in Virginia.

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

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Practice location Address checks out

1707 Osage St Ste 205
Alexandria, VA 22302-2611
Phone: (703) 578-0100
Fax: (703) 824-8357
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Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 0101027634 (VA)

Record details

NPI number1174626311
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 6, 2006
Last updated in NPPESMay 11, 2010
Mailing address1707 Osage St, Suite 205, Alexandria, VA 22302-2611

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