Individual provider · NPI-1

Emily Anne Elliott, OD

Optometrist · Titusville, FL

NPI number1326716713
StatusActive
Last updated in NPPESJan 15, 2025

Details

NPI
1326716713
Entity type
Individual (NPI-1)
Name
Emily Anne Elliott
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2021
Certification date
Jan 15, 2025
Last updated
Jan 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist046.011551ILYes

Practice location

730 S Washington Ave
Titusville, FL 32780-4232

Phone 321-267-2020

Mailing address

730 S Washington Ave
Titusville, FL 32780-4232

Phone 321-267-2020

Other practice locations

13800 Veterans Way
Orlando, FL 32827-7401

Phone 321-514-5753

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