Provider Demographics
NPI:1366146144
Name:POLLARD, ELIZABETH (LDO)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:POLLARD
Suffix:
Gender:F
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8451 COLERAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-3926
Mailing Address - Country:US
Mailing Address - Phone:513-923-3202
Mailing Address - Fax:513-923-3251
Practice Address - Street 1:8451 COLERAIN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-3926
Practice Address - Country:US
Practice Address - Phone:513-923-3202
Practice Address - Fax:513-923-3251
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOP017480S156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician