Elliott Vision Center Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2658 Issued in WI

Legal business name

ELLIOTT VISION CENTER INC.

Practice address

2722 Old Mill Dr
Racine, WI 53405-1320

Phone

(262) 632-2020

Fax

(262) 632-7085

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Elliott, O.D.NPI 1669450151

Title

Owner, President

Phone

(262) 632-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert E. Elliott, O.D.

  • Optometrist
  • Racine, WI
  • NPI 1669450151
  Medicare reassignment NPD Authorized official
• Ronald L Allen, MD

  • Ophthalmology Physician
  • Racine, WI
  • NPI 1518967470
  NPD (past)
• James Kramer, O.D.

  • Optometrist
  • Muskego, WI
  • NPI 1437204294
  NPD (past)
• Lawrence W Smith, OD

  • Optometrist
  • Glendale, WI
  • NPI 1609828581
  NPD (past)
• Regina Y. Najera, M.D.

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1407808660
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1669590006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 OLD MILL DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534051320",
            "telephone_number": "262-632-2020",
            "fax_number": "262-632-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 OLD MILL DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534051320",
            "telephone_number": "262-632-2020",
            "fax_number": "262-632-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT VISION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "262-632-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Eder, RN
• Eric James Eitel, PHARMD
• Paul M Elcano, DDS
• Houssam Elchekha, DDS
• Sandra L. Elfering, M.D.
• Robert E. Elliott, O.D.
• Lakazia Ellis
• Jose Lonappan Eluvathingal, PHD
• Allison L Emery, DMD
• Michelle Englund

• Optometrist in Racine, WI
• Providers in Racine, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.