Dr. Kevin Mark Ellsworth is a Logan, Utah based male Optometrist with 39 years of experience in Optometry. He completed his graduation from Southern California College Of Optometry in 1985. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kevin Mark Ellsworth is 112376-9934 for Optometry in Utah. Dr. Kevin Mark Ellsworth 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Kevin Mark Ellsworth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
39+ years
Medical School Attended:
Southern California College Of Optometry
Graduation Year:
1985
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
395 E 1400 N, Suite B, Logan, Utah, 84341-7573
Phone:
435-752-5585
Fax:
435-787-2871
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 are as mentioned below.
PAC ID:
5890775027
Enrollment ID:
I20040720001186
NPI Number:
1669457024
NPI Enumeration Date:
08 Dec, 2005
NPI Last Update On:
20 Aug, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kevin Mark Ellsworth are as mentioned below.
License Number
Specialization
State
Status
112376-9934
Optometry
Utah
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
395 E 1400 N, Suite B Logan, Utah
Zip:
84341-7573
Phone Number:
435-752-5585
Fax Number:
435-787-2871
Patients can reach Dr. Kevin Mark Ellsworth at 395 E 1400 N, Suite B, Logan, Utah or can call to book an appointment on 435-752-5585. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.