Active NPI
Madelynn Ellis, OD
- Optometrist
- Vancouver, WA
National Provider Identifier
1528852274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD.OD.70155319
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- Optometrist
- Camas, WA
- NPI 1124163167
-
- Optometrist
- Vancouver, WA
- NPI 1215072269
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.