MR. HOWARD RANDOLPH ELLISON II


Address: 132 E Fordham Rd, Bronx, NY 10468-5408
Phone: 7185611600

MR. HOWARD RANDOLPH ELLISON II (NPI# 1023325107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023325107
Entity Type Individual
Full Name MR. HOWARD RANDOLPH ELLISON II
Credential OPTICIAN
Practice Address 132 E Fordham Rd
Bronx
NY 10468-5408
Practice Telephone 7185611600
Practice Fax Number 7185611611
Mailing Telephone 7185611600
Mailing Fax Number 7185611611
Enumeration Date 2010-09-09
Last Update Date 2010-09-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
008765 NY Eye and Vision Services Providers

Other Providers HOWARD ELLISON

NPI Name Taxonomy Address Enumeration
1962410464 Howard Steven Ellison Internal Medicine 1010 East Freeway Drive, Conyers, GA 30094 2006-08-03

Office Location

Street Address 132 E FORDHAM RD
City BRONX
State NY
Zip Code 10468-5408

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1922623776 Michalis Georgiou Student in an Organized Health Care Education/Training Program 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 2020-06-08
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1154945434 Ambreen Shahzadi Student in an Organized Health Care Education/Training Program James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 2020-06-03
1912521550 Zara Idrees Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 2020-05-29
1710531256 Ana Samely Maria Registered Nurse 2525 Aqueduct Ave B3, Bronx, NY 10468 2019-08-01
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1528547312 Norwood Professional Medical Services of New York LLC Surgery 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 2018-08-13
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750879169 National Vision, Inc. Technician/Technologist 90 W 225th St, Bronx, NY 10463-7002 2018-05-01
1083025449 Discount Optical Outlet Inc Technician/Technologist 3509 White Plains Rd, Bronx, NY 10467-5705 2014-05-19
1811311061 Tremont Opticians Technician/Technologist 864 E Tremont Ave, Bronx, NY 10460-4201 2014-02-08
1972734150 Usv Optical Inc. Technician/Technologist 610 Exterior Street, Bronx, NY 10451 2009-08-05
1750563391 Delvia I Moquete Technician/Technologist 54 West Burnside Ave, Bronx, NY 10453-4018 2007-12-05
1083808778 Manuel Berrios Technician/Technologist 4555 3rd Ave, Bronx, NY 10458-7805 2007-09-05
1114048709 Galina Orloff Technician/Technologist 3120 Bainbridge Ave, Bronx, NY 10467-3958 2007-04-02
1417092313 My Optician Nyc Corp Technician/Technologist 5227 Broadway, Bronx, NY 10463-7636 2007-02-20
1801964770 Guillermo Ysmael Reyes Technician/Technologist 54 W Burnside Ave, Bronx, NY 10453-4018 2006-11-30
1568559771 Lydig Optical Lab Technician/Technologist 737 Lydig Ave, Bronx, NY 10462-2103 2006-10-07
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Competitor

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City BRONX
Zip Code 10468

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Dataset Information

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.

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