Louis P Ellen is a Jackson, Kentucky based male Optometrist who is specialized in Optometry. Active license number of Louis P Ellen is 1500DT for Optometry in Kentucky. Louis P Ellen 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:
Louis P Ellen 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:
OD
Gender:
Male
Practice Address:
540 Jett Dr, Jackson, Kentucky, 41339-9622
Phone:
606-666-9393
Fax:
606-666-4131
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.
NPI Number:
1134124928
NPI Enumeration Date:
17 Jun, 2005
NPI Last Update On:
27 Nov, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Louis P Ellen are as mentioned below.
License Number
Specialization
State
Status
1500DT
Optometry
Kentucky
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Louis P Ellen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
77000404
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1401 Harrodsburg Rd, Ste B75 Lexington, Kentucky
Zip:
40504-1724
Phone Number:
859-278-9393
Fax Number:
859-278-0923
Patients can reach Louis P Ellen at 540 Jett Dr, Jackson, Kentucky or can call to book an appointment on 606-666-9393. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.