Scott J Ellis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2331 Issued in OK

Practice address

920 N Main St
Elk City, OK 73644-2829

Phone

(580) 243-1121

Fax

(580) 243-1145

NPI assigned

Jul 18, 2006

Last updated

Mar 5, 2024By the provider in NPPES

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 OK

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

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Doctors Bintz and EllisGroup PAC ID 1951486042, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

• Doctors Bintz & Ellis

  • Optometrist
  • Elk City, OK
  • NPI 1831383793
  Medicare reassignment Care Compare group NPD
• Daniel G Bintz, OD, PC

  • Optometrist
  • Elk City, OK
  • NPI 1588701882
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1417975079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480009",
            "telephone_number": "580-243-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442829",
            "telephone_number": "580-243-1121",
            "fax_number": "580-243-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SCOTT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elk City RX Inc (Grandview Pharmacy)
• Elk City Surgical Center
• Elk City United Drug
• Elk Creek Dental Center, PLLC
• Elkwood Senior Living Center, LLC
• Erick Derocher D O Inc (Family Medical Clinic of Western Oklahoma)
• December Eslinger
• Expression Lactation LLC
• Eyecare of Western Oklahoma PC
• Family Choice Home Care (Family Choice Home Healthcare)

• Optometrist in Elk City, OK
• Providers in Elk City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.