DR. DONALD ELLISON (O.D.) – Optometrist, NPI 1659486363

DR. DONALD ELLISON (O.D.) is a healthcare provider. based in Oviedo, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC4124 (FL). The NPI Number for DR. DONALD ELLISON (O.D.) is 1659486363

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. DONALD ELLISON (O.D.)
NPI
1659486363
Phone
(407) 678-9151
Address
3635 ALOMA AVE
Enumeration Date
20 August 2006
Last Update Date
15 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4076789151
Graduation Year
2006 (20 years ago)
PAC ID
0446355705
Group Practice PAC ID
0840321279
Professional Enrollment ID
I20070413000585
Address ID
FL327658811OV3607XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. DONALD ELLISON (O.D.)

  • Dunkin', 3635, Aloma Avenue, Bertha, Oviedo, Seminole County, Florida, 32765, United States

    #1029

    OVIEDO, FL 327656395

    Phone: (407) 678-9151

    Fax: (407) 965-3309

    Type: Mailing

  • 3607 ALOMA AVE STE 1081

    OVIEDO, FL 327658811

    Phone: (407) 678-9151

    Fax: (407) 965-3309

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,672.

Total Amount is formed as General ($1,672) + Research ($0) + Ownership ($0) = $1,672.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Alcon Vision LLC ($1,289).

Total Amount

$1,672

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,672

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-04-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070413000585IOptometryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8167$0
92285Photography of content of eyes4339$0
92250Photography of the retina3831$0
99213Established patient office or other outpatient visit, 20-29 minutes2518$0
92134Imaging of retina1613$0
View full utilization report →

Insurance plans in this area (ZIP 32765)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840321279View full group profile
NameSpecialtyState
O P T O M E T R YFL

Reviews

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Frequently asked questions

Does DR. DONALD ELLISON (O.D.) have a public NPI I can cite?
Public records show DR. DONALD ELLISON (O.D.) under NPI 1659486363.
Quick check: is DR. DONALD ELLISON (O.D.) active?
Public NPPES data shows DR. DONALD ELLISON (O.D.) with an active NPI status right now.
How should patients interpret DR. DONALD ELLISON (O.D.)'s specialty?
The extract shows Optometrist for DR. DONALD ELLISON (O.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DONALD ELLISON (O.D.)?
DR. DONALD ELLISON (O.D.) is associated with Oviedo, Florida in the same public data insurers reference.
Can I export DR. DONALD ELLISON (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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