Individual provider Active NPI

Trenton Todd Elliott, OD

  • Optometrist
  • Coppell, TX
National Provider Identifier
1275519225
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5724TG Issued in TX
Practice address
175 S Denton Tap Rd
Coppell, TX 75019-3204
Phone
(972) 393-8600
NPI assigned
Dec 21, 2005
Last updated
Sep 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5724TG TX Primary

Addresses

Primary practice location

175 S Denton Tap Rd
Coppell, TX 75019-3204

Mailing address

175 S Denton Tap Rd
Coppell, TX 75019-3204
Phone (972) 393-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080807000426 TX Practitioner - Optometry 1153495239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliott Eye Associates PAGroup PAC ID 6507930690, 3 clinicians

Practice addresses (Care Compare)

175 S Denton Tap Rd
Coppell, TX 75019-3204
Phone (972) 393-8600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Aug 16, 2023 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Aug 16, 2023 Accepting new patients
Elliott Eye Associates PA Optometrist CurrentSince Dec 31, 2003 Accepting new patients

Locations

175 S Denton Tap Rd
Coppell, TX 75019
Phone (972) 393-8600

220 S Denton Tap Rd
Ste 204
Coppell, TX 75019
Phone (903) 707-7020

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1275519225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S DENTON TAP RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193204",
            "telephone_number": "972-393-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S DENTON TAP RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193204",
            "telephone_number": "972-393-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "TRENTON",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5724TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.