| Trinity Eye Associates LLC | |
|
3607 Aloma Ave Ste 1081 Oviedo FL 32765-8811 | |
| (407) 678-9151 | |
| Not Available |
| Full Name | Trinity Eye Associates LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3607 Aloma Ave Ste 1081, Oviedo, Florida |
| Authorized Official Name and Position | Jilma H Ellison (OFFICER) |
| Authorized Official Contact | 4078102790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Eye Associates LLC 3607 Aloma Ave Ste 1081 Oviedo FL 32765-8811 Ph: (407) 678-9151 | Trinity Eye Associates LLC 3607 Aloma Ave Ste 1081 Oviedo FL 32765-8811 Ph: (407) 678-9151 |
| NPI Number | 1356664106 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 0840321279 |
|---|---|
| Medicare Enrollment ID | O20100629000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356664106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OPC4126 (Florida) | Primary |
| Provider Name | Donald F Ellison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659486363 PECOS PAC ID: 0446355705 Enrollment ID: I20070413000585 |
| Provider Name | Jilma H Ellison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447364492 PECOS PAC ID: 9931291416 Enrollment ID: I20070829000117 |
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