Elliott, Robert E.
Elliott, Robert E. is an sole proprietor health care provider with primary practice located at 2722 Old Mill Dr , Racine WI 53405-1320. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Elliott, Robert E. can be contacted via phone (262) 632-2020.Contact Information
Primary practice address
2722 Old Mill Dr
Racine WI 53405-1320
Phone: (262) 632-2020
Fax: (262) 632-7085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2658 | Wisconsin |
Profile Details
| NPI number | 1669450151 |
|---|---|
| LBN Legal business name | Elliott, Robert E. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669450151 | NPPES |
| Wisconsin | MEDICAID | 38620900 |
Popular Providers
-
Rosenberg, Dean Alan
217 6Th St , Racine WI 53403-1213 -
Shufelt, Heidi Anne
4801 Washington Ave , Racine WI 53406-4219 -
Soldenwagner, Maximillian Joseph
2510 S Green Bay Rd , Racine WI 53406-4926 -
Pruett, Stephen J
3805B Spring St Suite 140, Racine WI 53405-1641 -
Nicholson, Sara Kristen
4060 N Main St , Racine WI 53402-3121 -
Andersen, Rick D
1421 Washington Ave , Racine WI 53403-2254 -
Evans, Kristine M
3905 Douglas Ave , Racine WI 53402-3230 -
Pileski-Perona, Jennifer
5744 Durand Ave , Racine WI 53406-5054