Tyler Ellsworth, OD

NPI 1760034110 · on the registry since 2019 · sole proprietor

Practice

Address: 8075 Mall Pkwy Ste 103
Lithonia, GA 30038
Phone: (770) 484-2955
Organisation at this address: Family Services Unlimited
All Source Professionals, Llc
Family Services Unlimited, Inc
Family Services Unlimited, Inc
Compassionate Care Senior Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-07-15

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 Georgia