Samantha Carrie Elliott, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003182 Issued in GA

Practice address

83 S Tunnel Rd Ste A2
Asheville, NC 28805-2268

Phone

(828) 298-0207

Fax

(828) 412-3653

NPI assigned

Jul 18, 2019

Last updated

Nov 18, 2024By 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 GA, NC2 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

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.

• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409

  GA

  Medicare reassignment NPD
• NC Doctors of Optometry PLLC

  • Optometrist
  • Greensboro, NC
  • NPI 1366047037
  Medicare reassignment

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1861045916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 S TUNNEL RD STE A2",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052268",
            "telephone_number": "828-298-0207",
            "fax_number": "828-412-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S TUNNEL RD STE A2",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052268",
            "telephone_number": "828-298-0207",
            "fax_number": "828-412-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SAMANTHA",
        "middle_name": "CARRIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Elliott
• Christine Elliott, LPC, LCAS
• Elizabeth J Elliott, LCSW
• Lydia Elliott, F.N.P.
• Makenzie Susanne Elliott, RN
• Amber Nicole Ellis, PT, DPT
• Brian Ellis
• Carla Denise Ellis, LCMHC
• Elaine D Ellis, LPC
• Eva Ellis, ARRT(R)(T)(CT)

• Optometrist in Asheville, NC
• Providers in Asheville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.