Ellis Eye Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELLIS EYE OPTOMETRY

Practice address

1306 W Avenue J Ste B
Lancaster, CA 93534-2936

Phone

(661) 948-6310

NPI assigned

Nov 21, 2024

Last updated

Nov 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Damon Ellis, ODNPI 1023231917

Title

Owner

Phone

(510) 847-1593

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Damon Matthew Ellis, O.D.

  • Optometrist
  • Oakland, CA
  • NPI 1023231917
  NPD Authorized official
• Mariam Anna Gettas

  • Optometrist
  • Lancaster, CA
  • NPI 1891218673
  NPD (past)
• Amanda Ly, OD

  • Optometrist
  • Lancaster, CA
  • NPI 1902413495
  NPD (past)

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1932924180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W AVENUE J STE B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342936",
            "telephone_number": "661-948-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS EYE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-847-1593",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santiago Rey Elias
• Elite Neurodiagnostics Inc.
• Elite Wound Care Services Inc
• Elixir Solutions, LLC
• Ella's Paradise
• Chanelle Ellis
• Rashunda Tonette Ellis, MSW
• Susana T Ellis
• Howaida Elsabbagh
• Henry E Elwood, R.N., C.R.N.A.

• Optometrist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.