Ellis Optical Co Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

6000005530DEVICES Issued in PA

Legal business name

ELLIS OPTICAL CO INC

Practice address

1444 Linden St
Bethlehem, PA 18018-2600

Phone

(610) 866-8972

Fax

(610) 865-2466

NPI assigned

Aug 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David L Knappenberger, ABOC

Title

President Owner

Phone

(610) 866-8972

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447266259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 LINDEN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182600",
            "telephone_number": "610-866-8972",
            "fax_number": "610-865-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 LINDEN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182600",
            "telephone_number": "610-866-8972",
            "fax_number": "610-865-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS OPTICAL CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNAPPENBERGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "610-866-8972",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": "6000005530DEVICES",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisha J Elliott Leavy, LCSW
• Ashley Elliott
• Bryana Elliott
• Derek P. Elliott, PA-C
• Nicole Elliott, DO
• Kara Lyn Ellis
• Rileigh Ambra Ellis, M.S. CCC-SLP
• Alyson Ellison, LPC
• Sherif Elnaggar, DPT
• Kareem Elsayed, MD

• Optician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Optician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.