MR. DANIEL ADAM ELLIS (NPI# 1174886220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174886220 |
| Entity Type | Individual |
| Full Name | MR. DANIEL ADAM ELLIS |
| Credential | L.D.O. |
| Practice Address |
N. 1804 Washington Ye Olde Optical Shoppe Spokane WA 99205-4757 |
| Practice Telephone | 5093263459 |
| Practice Fax Number | 5093263459 |
| Mailing Telephone | 5093263459 |
| Mailing Fax Number | 5093263459 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DO-00000549 | WA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760893705 | Daniel Alexander Ellis | Occupational Therapy Assistant | 801 N. Hamilton St., Williamston, SC 29697 | 2014-05-13 |
| 1215297536 | Daniel Beau Ryan Ellis | Chiropractor | 9 125 Lane Nw, Coon Rapids, MN 55448 | 2012-05-21 |
| 1366077240 | Daniel Ellis | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2020-03-11 |
| 1235588286 | Daniel K Ellis | Family Medicine | 608 Nw 9th St, Ste 1000, Oklahoma City, OK 73102 | 2016-06-10 |
| 1578922753 | Daniel Ellis | Registered Nurse | 5665 Hoover Rd, Grove City, OH 43123 | 2016-02-17 |
| 1063893881 | Daniel Preston Ellis | Physical Therapist | 680 Ivy St, Junction City, OR 97448-1636 | 2015-06-17 |
| 1982090577 | Daniel James Ellis | Internal Medicine | 1514 Jefferson Hwy, Jefferson, LA 70121-2483 | 2015-04-09 |
| 1740538065 | Daniel Ellis | Counselor | 323 W Mulberry St, Watseka, IL 60970-1568 | 2012-08-16 |
| 1962635060 | Daniel William Ellis | Counselor | 1736 E Sunshine St, Plaza Towers Suite 811, Springfield, MO 65804-1343 | 2009-08-24 |
| 1568628394 | Daniel Ray Ellis | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2008-07-31 |
| Street Address |
N. 1804 WASHINGTON YE OLDE OPTICAL SHOPPE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518172758 | Eyes N Glass Optiks Inc | Technician/Technologist | 201 W Franics Ave, Suite B, Spokane, WA 99205 | 2007-05-11 |
| 1518171545 | Shelli D Greenland | Technician/Technologist | 614 E Brentwood Dr, Spokane, WA 99208-9542 | 2007-05-09 |
| 1578699625 | Everything In Sight | Technician/Technologist | 1314 S Grand Blvd Ste 5, Spokane, WA 99202-1174 | 2007-02-25 |
| 1790836443 | Stahl Optical, Inc. | Technician/Technologist | 251 E. 5th Avenue, Ste A, Spokane, WA 99202-1332 | 2007-01-16 |
| 1811078405 | Wal-mart Stores, Inc | Technician/Technologist | 2301 W Wellesley Ave, Spokane, WA 99205-5004 | 2006-10-18 |
| 1639269871 | Wal-mart Stores, Inc | Technician/Technologist | 9212 N Colton St, Spokane, WA 99218-1284 | 2006-10-16 |
| 1881785467 | Cozza Optical Inc | Technician/Technologist | 5503 N Wall St, Suite 1, Spokane, WA 99205-6402 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358424 | Amy King | Technician/Technologist | 111 E North Bend Way Ste A, North Bend, WA 98045-8152 | 2020-02-14 |
| 1477115863 | Nicole Ann Hanby | Technician/Technologist | 4325 University Way Ne, Seattle, WA 98105-5808 | 2019-07-05 |
| 1033772629 | Margaret Wilder Burke | Technician/Technologist | 2718 Patton St, Bellingham, WA 98225-1545 | 2019-04-18 |
| 1750846093 | Rebecca E Doherty | Technician/Technologist | 216 E 5th St Ste A, Port Angeles, WA 98362-3008 | 2019-01-31 |
| 1538641535 | Rebecca Swislow | Technician/Technologist | 20627 59th Dr Ne, Arlington, WA 98223-8287 | 2018-09-05 |
| 1588143986 | Robin Nordlum | Technician/Technologist | 814 Ne 123rd Ave, Vancouver, WA 98684-5842 | 2018-08-07 |
| 1174016943 | National Vision, Inc. | Technician/Technologist | 15015 Main St Ste 104, Bellevue, WA 98007-5229 | 2018-06-07 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1295181626 | Lisa D Henry | Technician/Technologist | 620 Se Everett Mall Way Ste 320, Everett, WA 98208-3279 | 2016-05-04 |
| 1104285311 | Rachel Crites | Technician/Technologist | 317 N Pearl St, Ellensburg, WA 98926-3363 | 2016-02-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.