DR. ASHLEY ELIZABETH NORUM ELLIS (O.D.) – Optometrist, NPI 1700239126
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
684 OPTOMETRY in OK
Provider Addresses for DR. ASHLEY ELIZABETH NORUM ELLIS (O.D.)
4169, Geist Road, Fairbanks North Star, Alaska, 99709, United States
FAIRBANKS, AK 997093420
Phone: (907) 479-4700
Fax: (907) 457-5596
Type: Mailing
14701 N Santa Fe Ave
Edmond, OK 730133411
Phone: (405) 752-2733
Type: Location
West Reno Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73127, United States
OKLAHOMA CITY, OK 73127
Phone: (405) 948-4900
Fax: (405) 948-4902
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $705.
Total Amount is formed as General ($705) + Research ($0) + Ownership ($0) = $705.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Alcon Vision LLC ($358).
Total Amount
$705
General + Research + Ownership
Payments
12
Total payment records
General Amount
$705
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200629002975 | I | Optometry | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 34 | $0 |
| 92083 | Exam of visual field with extended testing | 23 | 19 | $0 |
| 92134 | Imaging of retina | 23 | 19 | $0 |
| 92133 | Imaging of optic nerve | 18 | 14 | $0 |
Insurance plans in this area (ZIP 99709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AK | |
| O P T O M E T R Y | AK | |
| O P T O M E T R Y | AK |
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