Donald Ellison, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4124 Issued in FL

Practice address

3607 Aloma Ave Ste 1081
Oviedo, FL 32765-8811

Phone

(407) 678-9151

Fax

(407) 965-3309

NPI assigned

Aug 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Eye Associates LLCGroup PAC ID 0840321279, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Trinity Eye Associates LLC

  • Clinic/Center
  • Oviedo, FL
  • NPI 1356664106
  Medicare reassignment Care Compare group NPD
• Ellison Eyecare LTD. Co

  • Clinic/Center
  • Orange City, FL
  • NPI 1134372600

  Optometrist

  NPD (past) Authorized official
• Trinity Visual and Neurological Rehabilitation Center

  • Clinic/Center
  • Oviedo, FL
  • NPI 1902277577
  NPD (past) Authorized official
• Florida Eye Clinic P a

  • Optometrist
  • Titusville, FL
  • NPI 1578537270
  NPD (past)
• Florida Eye Clinic PA

  • Ophthalmology Physician
  • Clermont, FL
  • NPI 1154872968

  Optometrist

  NPD (past)
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1659486363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 ALOMA AVE STE 1081",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658811",
            "telephone_number": "407-678-9151",
            "fax_number": "407-965-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 ALOMA AVE STE 1081",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658811",
            "telephone_number": "407-678-9151",
            "fax_number": "407-965-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621169100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elevate Children'S Therapy
• Tracy Elfand, COTA
• Elite Care RX LLC
• Alison Ellig, MA, SLP-CFY
• Joseph Bryan Elliott
• Jilma H Ellison, O.D.
• Lindsey B. Elmes, M.D.
• Niyousha Elmi, PHARMD
• Marta Alday Embree
• Enriched Life Counseling & Consulting, LLC

• Optometrist in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.