Dr. Ellen Kay Braley, OD
Optometrist in Carlinville, IL. Individual provider (NPI-1).
NPI number1619595352
StatusActive
Last updated in NPPESJul 9, 2020
Details
- NPI
- 1619595352
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ellen Kay Braley
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2020
- Certification date
- Jul 9, 2020
- Last updated
- Jul 9, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 046.011451 | IL | Yes |
Other names
- Ellen K Sullivan (Former Name)
Practice location
300 N Broad StCarlinville, IL 62626-1304
Phone 217-854-7611 · Fax 217-854-8120
Mailing address
300 N Broad StCarlinville, IL 62626-1304
Phone 217-854-7611 · Fax 217-854-8120
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Optometrist providers in Carlinville, IL
- Samantha Butcher, ODNPI 1417635137
- Carlinville Eye Care PCNPI 1841392768
- Central Illinois Optometric Associates LtdNPI 1851417513
- Eyecare Of Carlinville PCNPI 1578803011
- Katie Marie Goodman-Thomas, O.D.NPI 1518241637
- Keith T Hedrick, ODNPI 1013914571
- John A Lapp, ODNPI 1669574562
- Karen C Rubrich, ODNPI 1871590331
All 9 Optometrist providers in Carlinville · All 196 providers in Carlinville
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