Individual provider Active NPI

Madelynn Ellis, OD

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1528852274
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD.OD.70155319 Issued in WA
Practice address
314 E McLoughlin Blvd
Vancouver, WA 98663-3371
Phone
(360) 694-8303
Fax
(360) 694-9032
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD.OD.70155319 WA Primary

Addresses

Primary practice location

314 E McLoughlin Blvd
Vancouver, WA 98663-3371

Mailing address

314 E McLoughlin Blvd
Vancouver, WA 98663-3371
Phone (360) 694-8303

Other practice location 1

329 NE 6th Ave
Camas, WA 98607-2035
Phone (360) 834-4802

Other practice location 2

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone (503) 220-8262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vancouver Contact Lens & Vision Clinic Inc Optometrist Past Accepting new patients
Vancouver Contact Lens & Vision Clinic Inc Optometrist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1528852274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MCLOUGHLIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633371",
            "telephone_number": "360-694-8303",
            "fax_number": "360-694-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MCLOUGHLIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633371",
            "telephone_number": "360-694-8303",
            "fax_number": "360-694-9032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 NE 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Camas",
            "state": "WA",
            "postal_code": "986072035",
            "country_code": "US",
            "telephone_number": "360-834-4802",
            "fax_number": "360-834-7046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3710 SW US Veterans Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972392964",
            "country_code": "US",
            "telephone_number": "503-220-8262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MADELYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD.OD.70155319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.