Glen W Elliott, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000289 Issued in PA

Practice address

250 Fame Ave Ste 225
Hanover, PA 17331-1576

Phone

(717) 637-1919

NPI assigned

Aug 17, 2005

Last updated

Oct 1, 2024By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in PA, MD2 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

Pennsylvania College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ludwick Eye Center, LTDGroup PAC ID 4183522972, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.26 of 100Reported as group

Quality

68.27

Improvement activities

40

Cost

66.52

Merit-based Incentive Payment System (MIPS)

Final score

90.78 of 100Reported as group

Quality

94.99

Promoting interoperability

100

Improvement activities

40

Cost

74.29

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glen.elliott.p9@direct.omnieyeservices.nextgenshare.com

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.

• Ludwick Eye Center, LTD

  • Ophthalmology Physician
  • Chambersburg, PA
  • NPI 1063499531

  MD, Optometrist

  Medicare reassignment Care Compare group NPD
• May Eye Care PC

  dba The May Eye Care Center & Associates

  • Medical Specialty Clinic/Center
  • Hanover, PA
  • NPI 1235159757
  Medicare reassignment NPD

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1851383830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE STE 225",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311576",
            "telephone_number": "717-637-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE STE 225",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311576",
            "telephone_number": "717-637-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "GLEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019476550006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG7940",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Eckard
• Nicole M Edwards, CRNP, MSN, FNP-C
• David M Einhorn, MSW, LCSW
• Maureen Eisenberg, D.O.
• Elevatemind, LLC
• Jason Daniel Ellis, DC
• James H Ellison, MD
• Ali Elsaied, DO
• Emergency Physician Associates of Pennsylvania, PC
• Caitlin Li Min Emig, OT

• Optometrist in Hanover, PA
• Providers in Hanover, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.