Ellis Optical Shoppe LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ELLIS OPTICAL SHOPPE LLC

Practice address

2318A 12TH St
Meridian, MS 39301-3933

Phone

(601) 483-1172

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Jonathan Evans Ellis

Title

Dispensing Optician

Phone

(601) 483-1172

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Ellis

  • Optician
  • Meridian, MS
  • NPI 1043363856
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1891972048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318A 12TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013933",
            "telephone_number": "601-483-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318A 12TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013933",
            "telephone_number": "601-483-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS OPTICAL SHOPPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "DISPENSING OPTICIAN",
        "authorized_official_telephone_number": "601-483-1172"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Healthcare, LLC
• Elite Sitters Homecare LLC
• Emily Joy Elliott, DPT
• Mark Steven Elliott, MD
• William Edward Elliott, M.D.
• Nancy Ellis
• Embrace Counseling Center, LLC
• Emeritus Corporation
• Jerrietta Mariah Emerson
• Anna Morton Epley, DMD

• Eyewear Supplier in Meridian, MS
• Providers in Meridian, MS by specialty
• Eyewear Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.