John Mark Ely, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000042 Issued in VA

Practice address

869C John Marshall Hwy
Front Royal, VA 22630-4578

Phone

(540) 635-3223

Fax

(540) 635-1050

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Dr David a Tufts O D PLLC

  • Optometrist
  • Winchester, VA
  • NPI 1477741072
  Medicare reassignment NPD
• Dr. John Ely

  • Optometrist
  • Front Royal, VA
  • NPI 1619143013
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1356382048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869C JOHN MARSHALL HWY",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226304578",
            "telephone_number": "540-635-3223",
            "fax_number": "540-635-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869C JOHN MARSHALL HWY",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226304578",
            "telephone_number": "540-635-3223",
            "fax_number": "540-635-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Duncan, LPC
• Jared Nathaniel Dunlap, MD
• Deborah E Dunn, M.D.
• Glen Egbert, PH.D.
• Allyson Meredith Elliott, BCBA
• John Talbot English III, M.D.
• Angela Fravel Estep, PHARMACIST
• Gregory Orton Evans
• Savannah Fain
• Family Preservation Services, Inc

• Optometrist in Front Royal, VA
• Providers in Front Royal, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.