DR. JOE E ELLIS (NPI# 1174597934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174597934 |
| Entity Type | Individual |
| Full Name | DR. JOE E ELLIS |
| Credential | O.D. |
| Practice Address |
109 W 5th St Benton KY 42025-1123 |
| Mailing Address |
Po Box 256 Benton KY 42025-0256 |
| Practice Telephone | 2705277421 |
| Practice Fax Number | 2705273118 |
| Mailing Telephone | 2705277421 |
| Mailing Fax Number | 2705273118 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2007-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1073DT | KY | Eye and Vision Services Providers |
| N | 174400000X | Specialist | 1073DT | KY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | HEALTHLINK | 149794 | 01 |
| KY | AETNA | 4349131 | 01 |
| KY | DEA | ME0212681 | 01 |
| KY | BLUEGRASS FAMILY HEALTH | T54572 | 01 |
| KY | 77010734 | 05 | |
| KY | BLUE CROSS BLUE SHIELD | 000000053519 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629291653 | Joe M Ellis | Dentist | 2525 Bay Area Blvd, Suite 170, Houston, TX 77058-1558 | 2007-04-10 |
| Street Address |
109 W 5TH ST |
| City | BENTON |
| State | KY |
| Zip Code | 42025-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245204304 | Laurel Morris | Optometrist | 109 W 5th St, Benton, KY 42025-1123 | 2006-02-15 |
| 1114475449 | Clarkson Optometry Midwest Inc | Optometrist | 109 W 5th St, Benton, KY 42025-1123 | 2016-09-15 |
| 1730521451 | Michael Andrew Case | Optometrist | 109 W 5th St, Benton, KY 42025-1123 | 2013-07-23 |
| 1396974200 | Aaron J. Lyles | Optometrist | 109 W 5th St, Benton, KY 42025-1123 | 2009-07-13 |
| 1497948541 | Clarkson Optometry Midwest Inc. | Optometrist | 109 W 5th St, Benton, KY 42025-1123 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073862843 | Elisha Dougherty | Pharmacist | 1004 Big Bear Hwy, Benton, KY 42025 | 2012-09-07 |
| 1730310285 | Benton Chiropractic, Pllc | Chiropractor | 141 Commerce Blvd, Benton, KY 42025 | 2009-07-31 |
| 1689813594 | Murray Calloway County Public Hospital | Internal Medicine | 543 Powell St, Benton, KY 42025 | 2009-02-17 |
| 1912159864 | William J Barabas | Physical Therapist | 244 Us Hwy 68 East, Benton, KY 42025 | 2008-10-22 |
| 1447419031 | Mary Jane Darnell | Occupational Therapy Assistant | 2607 Main Street, Benton, KY 42025 | 2008-06-09 |
| 1710176540 | Karen Diane Reed | Counselor | 198 Old Symsonia Road, Suite 107, Benton, KY 42025 | 2007-10-17 |
| 1255475794 | Community Alternatives Kentucky, Inc. | Home Health | 402 Caky Drive, Benton, KY 42025 | 2007-02-17 |
| 1477605988 | Marshall County Medical Associates | Family Medicine | 145 Vine Street, Benton, KY 42025 | 2007-01-17 |
| 1376604256 | Marshall County Assn. for Exceptional Children and Adults, Inc | Day Training, Developmentally Disabled Services | 198 Old Symsonia Road, Benton, KY 42025 | 2006-12-13 |
| 1023111929 | Benton Health Care, LLC | Nurse Practitioner | 414 East 12th Street, Benton, KY 42025 | 2006-09-06 |
| Find all providers in zip 42025 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801340633 | Cvo-bryant, LLC | Optometrist | 20770 I 30, Suite 135, Benton, AR 72019-8022 | 2016-08-10 |
| 1437402609 | Contact Lens Express LLC | Optometrist | 3715 Wildflower Ln, Benton, AR 72015-9000 | 2012-10-24 |
| 1033407226 | David Bryon Glenn | Optometrist | 443 Hwy 5 N, Benton, AR 72019-9778 | 2011-07-21 |
| 1356635510 | Justin B. Franks O.d. P.a. | Optometrist | 3016 Castle Valley Dr, Benton, AR 72019-6976 | 2011-06-06 |
| 1558675157 | Michael Wade Jorgensen | Optometrist | 187 Burt Blvd, Ste A, Benton, LA 71006-4905 | 2010-08-06 |
| 1528371150 | Jamie Byron Johnson | Optometrist | 318 W Sevier St, Benton, AR 72015-4270 | 2010-07-25 |
| 1124257035 | Natasha G. Lyles | Optometrist | 140 Commerce Blvd, Benton, KY 42025-1112 | 2009-07-13 |
| 1669651311 | Benton Eyecare Clinic | Optometrist | 443 Highway 5 N, Benton, AR 72019-9778 | 2007-10-30 |
| 1801839477 | Michael Lynn Hayes | Optometrist | 310 W 5th St, Benton, KY 42025-1102 | 2006-06-13 |
| 1245204304 | Laurel Morris | Optometrist | 109 W 5th St, Benton, KY 42025-1123 | 2006-02-15 |
| Find all providers in BENTON | ||||
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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.