JESSICA ANN ELLIS (NPI# 1619255262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619255262 |
Entity Type | Individual |
Full Name | JESSICA ANN ELLIS |
Credential | OD |
Practice Address |
427 S Bernard St Spokane WA 99204-2509 |
Practice Telephone | 5094560107 |
Practice Fax Number | 5097472635 |
Mailing Telephone | 5094560107 |
Mailing Fax Number | 5097472635 |
Enumeration Date | 2011-08-01 |
Last Update Date | 2015-09-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | OD60394843 | WA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | CAQH PROVIDER ID | 12252261 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568081081 | Jessica Ann Ellis | Registered Nurse | 3910 Ashwood Dr, Pearland, TX 77584-9200 | 2020-04-14 |
1003289950 | Jessica Lynn Ellis | Licensed Practical Nurse | 414 Linden Pl, Elmira, NY 14901-1622 | 2015-11-01 |
1851775704 | Jessica Ellis | Counselor | 2132 S 12th St Ste 103, Allentown, PA 18103-4814 | 2015-07-09 |
1356529358 | Jessica Erin Ellis | Registered Nurse | 500 Bethany Woods Dr, Temple, GA 30179-3574 | 2008-02-01 |
1114487188 | Jessica Marie Ellis | Counselor | 1450 Madison Ave, Covington, KY 41011-3369 | 2019-03-25 |
1407348295 | Jessica Ellis | Behavior Technician | 5304 Hollyridge St, North Las Vegas, NV 89081-4000 | 2018-06-06 |
1255849832 | Jessica Ellis | Registered Nurse | 2850 S Industrial Hwy, Ann Arbor, MI 48104-6796 | 2018-01-17 |
1124571690 | Jessica Ellis | Speech-Language Pathologist | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 | 2016-08-01 |
1962850800 | Jessica J Ellis | Dental Hygienist | 228 Beeman Pl, Us Army Dental Activity, Ft Riley, KS 66442-7009 | 2016-06-01 |
1851768907 | Jessica Ellis | Pharmacist | 322 Brownsville Loop, Lonoke, AR 72086-9348 | 2015-08-25 |
Street Address |
427 S BERNARD ST |
City | SPOKANE |
State | WA |
Zip Code | 99204-2509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295733541 | Fiona Jane Durcan | Ophthalmology | 427 S Bernard St, Spokane, WA 99204-2509 | 2005-07-11 |
1194126391 | Kolten R. Kuntz | Optometrist | 427 S Bernard St, Spokane, WA 99204-2509 | 2014-09-08 |
1255769063 | Spokane Eye Clinic | Optometrist | 427 S Bernard St, Spokane, WA 99204-2509 | 2013-10-15 |
1376981894 | Robert Joel Welch | Ophthalmology | 427 S Bernard St, Spokane, WA 99204-2509 | 2013-06-06 |
1518223817 | Cristofer Garza | Technician/Technologist | 427 S Bernard St, Spokane, WA 99204-2509 | 2012-04-11 |
1780995993 | Matthew Christopher Weed | Ophthalmology | 427 S Bernard St, Spokane, WA 99204-2509 | 2010-06-23 |
1932423605 | Hari Bodhireddy | Ophthalmology | 427 S Bernard St, Spokane, WA 99204-2509 | 2010-03-24 |
1326272691 | Rory T Allar | Ophthalmology | 427 S Bernard St, Spokane, WA 99204-2509 | 2009-05-14 |
1831332873 | Krista I Kinard | Neurological Surgery | 427 S Bernard St, Spokane, WA 99204-2509 | 2009-04-07 |
1952541971 | Jennifer Lynn Hickman | Physician Assistant | 427 S Bernard St, Spokane, WA 99204-2509 | 2009-03-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
Find all providers in zip 99204 |
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 |
---|---|---|---|---|
1942832845 | Trinity Vision Pllc | Optometrist | 4750 N Division St Ste 282, Spokane, WA 99207-1433 | 2020-02-07 |
1104464536 | Washington Eyes, LLC | Optometrist | 5011 W Lowell Ave Ste 120, Spokane, WA 99208-8587 | 2019-12-17 |
1447772041 | Lindsay Sue Kleinschmit | Optometrist | 4815 N Assembly St Bldg 30, Spokane, WA 99205-6185 | 2017-07-14 |
1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
1568816718 | Kristine Black | Optometrist | 4750 N Division St Ste 205, Spokane, WA 99207-1416 | 2016-04-13 |
1871967042 | Washington Eye Care Center PC | Optometrist | 126 N Washington St, Spokane, WA 99201-0223 | 2015-11-25 |
1134526916 | Dr Z Eyecare | Optometrist | 5503 N Wall St Ste A, Spokane, WA 99205-6402 | 2014-11-22 |
1801204144 | Keegan Kenneth Bench | Optometrist | 510 S Colwey, Spokane, WA 99202 | 2014-07-30 |
1700217403 | Nanette Brisbane, O.d., Pllc | Optometrist | 251 E 5th Ave, Suite A, Spokane, WA 99202-1327 | 2013-12-05 |
1174957161 | Blink Eyecare, Pllc | Optometrist | 1118 N Inland St, Spokane, WA 99224-7050 | 2013-08-26 |
Find all providers in SPOKANE |
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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.