L Edward Elliott (NPI# 1023000502, PAC ID# 0446399216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1023000502 |
| PAC ID by PECOS | 0446399216 |
| Professional Enrollment ID | I20091208000468 |
| Full Name | L Edward Elliott |
| Organization Legal Name | L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR |
| Address |
3601 Coffee Rd Modesto CA 95355-1161 |
| Phone Number | 2095211028 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY |
| Graduation Year | 1965 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0547309312 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 3601 Coffee Rd, Modesto, CA 95355-1161 | 2095211028 | L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR |
| Organization Legal Name | L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR |
| Physicians | 1 |
| Street Address |
3601 COFFEE RD |
| City | MODESTO |
| State | CA |
| Zip | 95355-1161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naihsien D Chen | Internal Medicine | 1303 Mable Ave, Modesto, CA 95355-1119 | |
| Greg A Vigna | Physical Medicine and Rehabilitation | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| David D Nisley | Physician Assistant | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| Patrick N Rhoades | Physical Medicine and Rehabilitation | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | |
| Sandhya Ravichandran | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 |
| Mutahir U Khan | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Rajesh Kumar Dubey | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Kent Hon-wah Wong | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Joydev Acharya | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Hassan Hussain | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Find all physicians in zip 95355 | |||
| City | MODESTO |
| Zip Code | 95355 |
| Specialty | OPTOMETRY |
| City + Specialty | MODESTO + OPTOMETRY |
Please comment or provide details below to improve the information on L Edward Elliott.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.