| L.edward Elliott, O.d. | |
|
1555 Viking St, Escalon, CA 95320-1742 | |
| (209) 838-7263 | |
| Not Available |
| Full Name | L.edward Elliott, O.d. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1555 Viking St, Escalon, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740456714 | NPI | - | NPPES |
| SD0047161 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| L.edward Elliott, O.d. 1555 Viking St, Escalon, CA 95320-1742 Ph: (209) 838-7263 | L.edward Elliott, O.d. 1555 Viking St, Escalon, CA 95320-1742 Ph: (209) 838-7263 |
Dr. L. Edward Elliott, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1555 Viking St, Escalon, CA 95320 Phone: 209-838-7263 Fax: 209-838-8093 | |
Mrs. Laurena Carole Krieger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1555 Viking St, Escalon, CA 95320 Phone: 209-838-7263 |