Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ingrid A Ellison, MD

Individual provider Optometrist · NPI 1205903556

Dr. Ingrid A Ellison, MD is an Optometrist in Hiram, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4795 Jimmy Lee Smith Pkwy Ste 101
Hiram, GA 30141-2792
Phone: (770) 222-6362
Fax: (866) 528-7115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmic Technician/Technologist (primary) Taxonomy 156FX1100X · Licence 45207 (GA)
Optometrist Taxonomy 152W00000X · Licence 45207 (GA)

Record details

NPI number1205903556
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESFebruary 8, 2013

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