DR. ELLERY ISAAC – Optometrist, NPI 1639699135

DR. ELLERY ISAAC is a healthcare provider. based in Saint clair shores, Michigan. specializing in OPTOMETRY. They hold a License No. 4901005069 (MI). The NPI Number for DR. ELLERY ISAAC is 1639699135

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLERY ISAAC
NPI
1639699135
Phone
(586) 775-6733
Address
24307 Harper Ave
Enumeration Date
26 June 2017
Last Update Date
15 July 2019

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
2485394800
Graduation Year
2017 (9 years ago)
PAC ID
0244503126
Group Practice PAC ID
5193734192
Professional Enrollment ID
I20170829003223
Address ID
MI483013000BL4114XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for DR. ELLERY ISAAC

  • 24307 Harper Ave

    Saint Clair Shores, MI 480801271

    Phone: (586) 775-6733

    Type: Location

  • 4114 W MAPLE RD

    BLOOMFIELD HILLS, MI 483013000

    Phone: (248) 539-4800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $5,342.

Total Amount is formed as General ($5,342) + Research ($0) + Ownership ($0) = $5,342.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($3,957).

Total Amount

$5,342

General + Research + Ownership

Payments

67

Total payment records

General Amount

$5,342

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

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: 2017-08-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170829003223IOptometryMITBD

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 minutes8369$0
92250Photography of the retina7068$0
99213Established patient office or other outpatient visit, 20-29 minutes2820$0
View full utilization report →

Insurance plans in this area (ZIP 48080)

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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: 5193734192View full group profile

Reviews

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Frequently asked questions

What is DR. ELLERY ISAAC's NPI number?
DR. ELLERY ISAAC's NPI is 1639699135 — the number used across U.S. healthcare to identify this provider.
Would DR. ELLERY ISAAC appear as active to a payer?
You can treat DR. ELLERY ISAAC as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. ELLERY ISAAC?
DR. ELLERY ISAAC's record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. ELLERY ISAAC?
Travel planning: use Saint Clair Shores, Michigan as the reference point for DR. ELLERY ISAAC, then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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