Ashley Elizabeth Norum Ellis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

112963 Issued in AK

Practice address

5208 W Reno Ave
Oklahoma City, OK 73127

Phone

(405) 948-4900

Fax

(405) 948-4902

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Elizabeth Norum Former name

Medicare fee-for-service enrollment

Enrolled in AK

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

Pacific University - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Valley Vision Center, IncGroup PAC ID 9436234994, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Eagle Eye Optometry, LLC

  • Optometrist
  • Fairbanks, AK
  • NPI 1770374233
  Medicare reassignment NPD Authorized official
• West Valley Vision Center, Inc

  • Optometrist
  • Fairbanks, AK
  • NPI 1235354515
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1700239126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 GEIST RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093420",
            "telephone_number": "907-479-4700",
            "fax_number": "907-457-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 W RENO AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73127",
            "telephone_number": "405-948-4900",
            "fax_number": "405-948-4902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14701 N Santa Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730133411",
            "country_code": "US",
            "telephone_number": "405-752-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH NORUM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "112963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "NORUM",
            "middle_name": "ELIZABETH",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sterling Lee Elliott
• Tamara Elliott, LPCC
• Tiffany Lee Elliott, D.O.
• Ellis Clinic, P.C.
• Anna Helena Ellis, M.S. LPC, LBP
• Ayodolle Ellis
• Bailey Marie Ellis
• Christian Ellis, D.O.
• David Paul Ellis, M.D.
• Delana Dawn Ellis, M.A.

• Optometrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.