DR. Kevin Mark Ellsworth O.D.

  • NPI 1669457024
According to our database, the NPI number for DR. Kevin Mark Ellsworth O.D. is 1669457024 and activated since 18 years ago. DR. Kevin Mark Ellsworth O.D. is an individual provider who specializes in Optometrist, and the primary practice location is 395 E 1400 N, Logan, UT 84341. You can also contact DR. Kevin Mark Ellsworth O.D. via telephone number is (435) 752-5585. Provider NPI information was last updated on 08/20/2008.

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Overview of DR. Kevin Mark Ellsworth O.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/08/2005
  • Last updated: 08/20/2008

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 112376-9934
  • License State: UT

Provider Mailing Address

  • Address: 395 E 1400 N
    Suite B
    Logan, UT 84341
  • Phone: 435-752-5585
  • Fax: 435-787-2871

Provider Practice Location

  • Address: 395 E 1400 N
    Suite B
    Logan, UT 84341
  • Phone: 435-752-5585
  • Fax: 435-787-2871

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 112376-993
  • License State: UT
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Kevin Mark Ellsworth O.D.?
  • A: The npi number for DR. Kevin Mark Ellsworth O.D. is 1669457024.
  • Q: What are DR. Kevin Mark Ellsworth O.D.'s specialties?
  • A: DR. Kevin Mark Ellsworth O.D.'s specialties are Optometrist and different specialities.
  • Q: What is the medical license for DR. Kevin Mark Ellsworth O.D.?
  • A: The medical license number for DR. Kevin Mark Ellsworth O.D. is 112376-9934 and issued in UT in USA.
  • Q: Where is DR. Kevin Mark Ellsworth O.D. practice location?
  • A: DR. Kevin Mark Ellsworth O.D. is practicing at 395 E 1400 N, Logan, UT 84341.
  • Q: How to contact DR. Kevin Mark Ellsworth O.D.?
  • A: You can contact DR. Kevin Mark Ellsworth O.D. via 435-752-5585.