Paige Ellis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006855 Issued in OH

Practice address

159 E Main St
Ravenna, OH 44266-3128

Phone

(330) 297-7733

NPI assigned

May 14, 2020

Last updated

Jun 25, 2024By 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

• Paige Scott 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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vivid Vision Eye Care LLCGroup PAC ID 6507258068, 2 clinicians

Practice addresses (Care Compare)

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.

• Vivid Vision Eye Care, LLC

  • Optometrist
  • Ravenna, OH
  • NPI 1033874573
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1447872304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 GLENALLEN AVE",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394032",
            "telephone_number": "812-746-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663128",
            "telephone_number": "330-297-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "SCOTT",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Lorene Easterling
• Edward Eichler, CNS
• Caitlin Elgin
• Elite Pharmacy Ravenna LLC
• Tear Daviana Ellington
• Catherine Ellison, PHARMD
• Embassy Longmeadow LLC (Longmeadow Care Center)
• Emeritus Corporation (Loyalton of Ravenna)
• Sondra Emmerling
• Daniel Ensinger

• Optometrist in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.