Katie L Elton, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

14730 Issued in CA

Practice address

24640 Jefferson Ave. Suite 100
Murrieta, CA 92562

Phone

(951) 677-5144

NPI assigned

Aug 8, 2013

Last updated

Aug 8, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Western University of Health Sciences College of Dental Med, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alex Tadros Optometric CorporationGroup PAC ID 6507250297, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alex Tadros Optometric Corporation

  dba California Oaks Vision Center of Optometry

  • Optometrist
  • Murrieta, CA
  • NPI 1851922470
  Medicare reassignment Care Compare group NPD
• Scott a Lewis Optometric

  dba scott lewis optometric corp

  • Optometrist
  • Murrieta, CA
  • NPI 1083764757
  NPD

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1720410137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24640 JEFFERSON AVE. STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-677-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24640 JEFFERSON AVE. SUITE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-677-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTON",
        "first_name": "KATIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "14730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Helene Ellis
• Terrance F Ellis
• Jason Anthony Ellton
• William Jon Elowson, MSE
• Fareed Elsaadi
• Elyaszadeh Levi Dental Corporation
• Em Alliance California, Apc
• Embodied Hue Solutions LLC (Trulab DX)
• Embodied Self Psychology, Inc.
• Jordan Emde-Kujawa

• Vision Therapy Optometrist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Vision Therapy Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.