Ellen Marie Grubb, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1807DT Issued in KY

Practice address

25 Sterling Way
Suite C
Mt Sterling, KY 40353-1174

Phone

(859) 498-4800

Fax

(859) 498-2021

NPI assigned

Jul 20, 2010

Last updated

Sep 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen Marie Wolke Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Tonya D. Lindsell and Associates, LLCGroup PAC ID 2163433640, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Tonya D. Lindsell and Associates, LLC

  • Optometrist
  • Cincinnati, OH
  • NPI 1992755672
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1417260340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STERLING WAY",
            "address_2": "SUITE C",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531174",
            "telephone_number": "859-498-4800",
            "fax_number": "859-498-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 STERLING WAY",
            "address_2": "SUITE C",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531174",
            "telephone_number": "859-498-4800",
            "fax_number": "859-498-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBB",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1807DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "WOLKE",
            "middle_name": "MARIE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Arnett Green, PA-C
• Katherine Alaine Greene, DMD
• Amanda Grey
• McKenzie S Grey, PTA
• Groundwork Counseling LLC
• Kenneth Eugene Grubb, LMT
• Guerrant Eye Clinic, PSC
• Elaina Christine Hall
• Fallon Smith Hall, PA-C
• Michael Alexander Hall

• Optometrist in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.