DR. L. EDWARD ELLIOTT (NPI# 1023000502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023000502 |
| Entity Type | Individual |
| Full Name | DR. L. EDWARD ELLIOTT |
| Credential | O.D. |
| Practice Address |
1555 Viking St Escalon CA 95320-1742 |
| Practice Telephone | 2098387263 |
| Practice Fax Number | 2098388093 |
| Mailing Telephone | 2098387263 |
| Mailing Fax Number | 2098388093 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2010-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
4716T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0047161 | 05 |
| Street Address |
1555 VIKING ST |
| City | ESCALON |
| State | CA |
| Zip Code | 95320-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740456714 | L.edward Elliott, O.d. | Optometrist | 1555 Viking St, Escalon, CA 95320-1742 | 2008-04-30 |
| 1659438802 | Laurena Carole Krieger | Optometrist | 1555 Viking St, Escalon, CA 95320-1742 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742369 | Markee Cuevas | Health Educator | 19951 East Highway 120, Escalon, CA 95320 | 2015-10-08 |
| 1144699208 | Cathryn Rae Duncan | Pharmacist | 1900 Mchenry Ave., #202, Escalon, CA 95320 | 2015-09-18 |
| 1699166181 | Jessica Lee | Student in an Organized Health Care Education/Training Program | 1438 Ribier Dr., Escalon, CA 95320 | 2015-02-05 |
| 1023381647 | Kandie Rago | Pharmacist | 537 Chenin Blanc Ave, Escalon, CA 95320 | 2012-02-13 |
| 1699973768 | Rachelle Vander Dussen | Registered Nurse | 19467 Sexton Rd, Escalon, CA 95320 | 2007-07-10 |
| 1831252618 | Gary Michael Verigin | Dentist | 1415 Oklahoma Ave, Escalon, CA 95320 | 2006-12-19 |
| 1467550434 | John Phillip Tacheff | Dentist | 1302 Mitchell Ave, Escalon, CA 95320 | 2006-09-21 |
| 1013011055 | Soma Krishnamoorthi | Internal Medicine | 850 W California Street, Escalon, CA 95320-1506 | 2006-09-11 |
| 1285785154 | Krishnamoorthi M. D. Inc., A Professional Medical Corporation | Clinic/Center | 850 California St, Escalon, CA 95320-1506 | 2007-01-16 |
| 1235262817 | Michelle Coble | Social Worker | 1812 Sanchez Way, Escalon, CA 95320-1535 | 2007-03-13 |
| Find all providers in zip 95320 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1053880468 | Elements Optometry P.C. | Optometrist | 703 Pier Ave Ste C, Hermosa Beach, CA 90254-3958 | 2018-11-14 |
| 1184108797 | Patrick W Utnehmer A Proffesional Corporation | Optometrist | 41493 Margarita Rd Ste G109, Temecula, CA 92591-5570 | 2018-09-19 |
| 1629586409 | Excel Family Eye Care Inc | Optometrist | 15855 Soquel Canyon Pkwy Ste 120, Chino Hills, CA 91709-7866 | 2018-01-16 |
| 1548634504 | Jessica Duong,o.d.inc. | Optometrist | 4294 Riverwalk Pkwy Ste 204, Riverside, CA 92505-3378 | 2015-11-13 |
| 1649694571 | Visual Eyes Optometry Inc | Optometrist | 4555 Hopyard Rd Ste C-19, Pleasanton, CA 94588-2771 | 2014-02-12 |
| 1649602939 | Kambiz Silani | Optometrist | 212 S Robertson Blvd, Beverly Hills, CA 90211-2811 | 2013-08-08 |
| 1740621937 | Old Town Optometry Inc | Optometrist | 78015 Main St Ste 107, La Quinta, CA 92253-3420 | 2013-07-16 |
| 1891033825 | Roushanak Fadavi | Optometrist | 4 Arcata, Mission Viejo, CA 92692-5138 | 2013-01-25 |
| 1659629384 | Yen's Optometry Inc. | Optometrist | 1335 Lincoln Ave, San Jose, CA 95125-3022 | 2012-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.