Ellen L. Ellsworth, Od Inc is a Optometrist Center in Mentor, Ohio. It is situated at 9930 Johnnycake Ridge Rd, Suite 4b, Mentor and its contact number is 440-352-8031. The authorized person of Ellen L. Ellsworth, Od Inc is Dr. Ellen Lille Ellsworth
who is President of the clinic and their contact number is 440-352-8031. Primary license number for Ellen L. Ellsworth, Od Inc is 4277 T228 (Optometrist) in Ohio.
Ellen L. Ellsworth, Od Inc Center have optometrists who can 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. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Ellen L. Ellsworth, Od Inc Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
| Specialization: | Optometry |
| Clinic Address: | 9930 Johnnycake Ridge Rd, Suite 4b, Mentor,
Ohio, 44060-6752 |
| Phone: | 440-352-8031 |
| Fax: | 440-352-7671 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Ellen Lille Ellsworth |
| Position: | President |
| Contact Number: | 440-352-8031 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ellen L. Ellsworth, Od Inc Center are as mentioned below.
| NPI Number: | 1568642890 |
| NPI Enumeration Date: | 03 Nov, 2007 |
| NPI Last Update On: | 02 Jul, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellen L. Ellsworth, Od Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Optometrist | 4277 T228 | Ohio | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0841316 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ellen L. Ellsworth, Od Inc
9930 Johnnycake Ridge Rd, Suite 4b
Mentor, Ohio |
| Zip: | 44060-6752 |
| Phone Number: | 440-352-8031 |
| Fax Number: | 440-352-7671 |
Patients can reach Ellen L. Ellsworth, Od Inc at
9930 Johnnycake Ridge Rd, Suite 4b, Mentor, Ohio or can
call to book an appointment on 440-352-8031.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.