Elaina Nellis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00708100 Issued in NJ

Practice address

12 New Paltz PLZ
New Paltz, NY 12561-1616

Phone

(845) 255-6780

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Optometry

Education

State University of New York - State College Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Eye Medford LLCGroup PAC ID 2961865332, 5 clinicians

Premier Eye Marlton, LLCGroup PAC ID 2062891781, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elaina.nellis@direct.revolutionehr.com

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.

• Premier Eye Marlton, LLC

  • Optometrist
  • Marlton, NJ
  • NPI 1891439600
  Medicare reassignment Care Compare group NPD
• Premier Eye Medford LLC

  • Optometrist
  • Medford, NJ
  • NPI 1639853062
  Medicare reassignment Care Compare group NPD
• Daniel H. Isaac, O.D., P.a.

  • Corneal and Contact Management Optometrist
  • Cherry Hill, NJ
  • NPI 1639368038
  Medicare reassignment NPD
• Premier Eye Associates, LLC

  • Optometrist
  • Collingswood, NJ
  • NPI 1699192070
  Medicare reassignment NPD

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1639664154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 HAINESPORT MOUNT LAUREL RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NEW PALTZ PLZ",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611616",
            "telephone_number": "845-255-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLIS",
        "first_name": "ELAINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008810",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00708100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dafna Neiger, LCSW
• Barbara Neiman
• Tanya Neiman, LCSW
• Jared Edward Nekos, PHARMD
• Lara Anne Nekos, PHARMD
• David Brian Ness, DC
• New Lens Psychotherapy LCSW PLLC
• New Paltz Central School District
• New Paltz Creative Arts Therapy for Trauma PLLC
• New Paltz Dental Care PLLC

• Optometrist in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.