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

Olivia Mae Ellis, LDO, ABOC

Individual provider Optician · NPI 1164290706

Olivia Mae Ellis, LDO, ABOC is an Optician in Gloucester, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023

Practice location Address checks out

6819 Waltons Ln
Gloucester, VA 23061-6113
Phone: (804) 693-2623
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 1101004052 (VA)

Record details

NPI number1164290706
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDO , ABOC
Sole proprietorNo
NPI enumeratedDecember 13, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

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