Antwon Elijah, QMHS/CMS

NPI 1588139125 · on the registry since 2018

Practice

Address: 813 Troy St
Dayton, OH 45404
Phone: (937) 982-1500
Organisation at this address: Solace At Vivian'S
Solace At Vivian'S
Dayton Optometric Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 1041C0700X
101YA0400X
104100000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio