ELLEN L. ELLSWORTH, OD INC
NPI 1568642890
Optometrist in Mentor, OH

Q: What is Ellen L. Ellsworth, Od Inc's NPI number?

The NPI number for Ellen L. Ellsworth, Od Inc is 1568642890. It was assigned to this organization in the NPPES registry on November 3, 2007.

Q: What is Ellen L. Ellsworth, Od Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since November 03, 2007

9930 JOHNNYCAKE RIDGE RD, SUITE 4B, MENTOR, OH 44060(440) 352-8031(440) 352-7671 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ellen L. Ellsworth, Od Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN L. ELLSWORTH, OD INC (NPI 1568642890) is a healthcare organization registered as an optometrist in Mentor, Ohio and active in the NPI registry since November 2007. The organization lists Ellen Lille Ellsworth, President, as its authorized official.

NPPES Registry Identity

NPI1568642890

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameELLEN L. ELLSWORTH, OD INC

Location Address9930 JOHNNYCAKE RIDGE RD, SUITE 4BMentor, OH 44060-6752

Mailing Address9930 Johnnycake Ridge Rd, Suite 4bMentor, OH 44060-6752 · (440) 352-8031 · Fax (440) 352-7671

Phone(440) 352-8031

Fax(440) 352-7671

Organization SubpartNo

Authorized OfficialEllen Lille EllsworthPresident · (440) 352-8031

Enumeration DateNovember 3, 2007

Last NPPES UpdateJuly 2, 2008

✔ NPI 1568642890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OH · 4277 T228

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

9930 JOHNNYCAKE RIDGE RD, Mentor, OH 44060

Open in Google Maps ↗

Other Identifiers 3

Medicaid0841316OH

Medicare PINEL9324941

Medicare NSC0971390001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHOA HOANG DAC LE

Counselor (Mental Health)

9930 JOHNNYCAKE RIDGE RD
MENTOR, OH 44060

Lake County (216) 972-1588

DR. VICTOR STEVEN GRECO D.D.S.

Dentist (General Practice)

9930 JOHNNYCAKE RIDGE RD, SUITE 1D
MENTOR, OH 44060

Lake County (440) 352-8828

DR. JEFFERY MICHAEL SALERNO D.D.S.

Dentist

9930 JOHNNYCAKE RIDGE RD
CONCORD TWP, OH 44060

Lake County (440) 357-5555

DR. ELLEN LILLE ELLSWORTH O.D.

Optometrist

9930 JOHNNYCAKE RIDGE RD, SUITE 4B
MENTOR, OH 44060

Lake County (440) 352-8031

DR. KENNETH MICHAEL SALERNO DDS

Dentist (General Practice)

9930 JOHNNYCAKE RIDGE RD, 1-F
MENTOR, OH 44060

Lake County (440) 357-5555

MR. KEVIN C ROBERTSON AT

Specialist/Technologist (Athletic Trainer)

9930 JOHNNYCAKE RIDGE RD, SUITE 6B
MENTOR, OH 44060

Lake County (440) 357-6677

HORVATH MEDICAL SUPPLY INC

Prosthetist

9930 JOHNNYCAKE RIDGE RD, UNIT 1C
MENTOR, OH 44060

Lake County (440) 357-2371

HORVATH MEDICAL SUPPLY, INC.

Prosthetic/Orthotic Supplier

9930 JOHNNYCAKE RIDGE RD, UNIT 1C
MENTOR, OH 44060

Lake County (440) 357-2371

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen L. Ellsworth, Od Inc's NPI number?

The NPI number for Ellen L. Ellsworth, Od Inc is 1568642890. It was assigned to this organization in the NPPES registry on November 3, 2007.

Where is Ellen L. Ellsworth, Od Inc located?

Ellen L. Ellsworth, Od Inc is located at 9930 Johnnycake Ridge Rd Suite 4B, Mentor, OH 44060. The listed phone number is (440) 352-8031.

What is Ellen L. Ellsworth, Od Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Ellen L. Ellsworth, Od Inc was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.