JESSICA ANN ELLIS


Address: 427 S Bernard St, Spokane, WA 99204-2509
Phone: 5094560107

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OD60394843 WA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA CAQH PROVIDER ID 12252261 01

Other Providers JESSICA ELLIS

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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

Office Location

Street Address 427 S BERNARD ST
City SPOKANE
State WA
Zip Code 99204-2509

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SPOKANE
Zip Code 99204

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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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