Howard Randolph Ellison II, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008765 Issued in NY

Practice address

132 E Fordham Rd
Bronx, NY 10468-5408

Phone

(718) 561-1600

Fax

(718) 561-1611

NPI assigned

Sep 9, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1023325107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104685408",
            "telephone_number": "718-561-1600",
            "fax_number": "718-561-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104685408",
            "telephone_number": "718-561-1600",
            "fax_number": "718-561-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "HOWARD",
        "middle_name": "RANDOLPH",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma M Ellis, RNP
• Sarah Hall Ellis, AU.D.
• Sylvia M Ellis
• Yasmina Osiris Ellis
• Pamela O Ellison El, OTR/L
• Shannon Lynette Ellison
• Ellmak Inc
• David Angelo Ellman, DDS
• Hammond Anthony Ells, LMSW
• Leah Elman, NP

• Optician in Bronx, NY
• Providers in Bronx, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.