DR. JOHN S ELLIS (OD) – Optometrist, NPI 1871569244

DR. JOHN S ELLIS (OD) is a healthcare provider. based in Little egg harbor twp, New Jersey. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OA05056 (NJ). The NPI Number for DR. JOHN S ELLIS (OD) is 1871569244

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN S ELLIS (OD)
NPI
1871569244
Phone
(609) 294-8144
Address
691 ROUTE 9 S
Enumeration Date
27 February 2006
Last Update Date
10 February 2012

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
9122839383
Graduation Year
1990 (36 years ago)
PAC ID
4183794522
Group Practice PAC ID
9830498435
Professional Enrollment ID
I20230501000201
Address ID
GA315010908WA1730XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,050 OPTOMETRY in NJ

Provider Addresses for DR. JOHN S ELLIS (OD)

  • 691 ROUTE 9 S

    MILLERS MALL - UNIT 4

    LITTLE EGG HARBOR TWP, NJ 080874020

    Phone: (609) 294-8144

    Fax: (609) 812-5190

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-05-01

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080528000460IOptometryNJTBD
I20230501000201IOptometryGATBD

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
92014Established patient complete exam of visual system7876$0
92250Photography of the retina5555$0
92012Established patient problem focused exam of visual system3026$0
92004New patient complete exam of visual system2727$0
99213Established patient office or other outpatient visit, 20-29 minutes2016$0
View full utilization report →

Insurance plans in this area (ZIP 08087)

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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: 9830498435View full group profile
NameSpecialtyState
O P T O M E T R YGA
-GA
O P T O M E T R YVA

Reviews

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Frequently asked questions

Is there an official ID for DR. JOHN S ELLIS (OD) in U.S. healthcare records?
The official identifier for DR. JOHN S ELLIS (OD) is NPI 1871569244.
Is DR. JOHN S ELLIS (OD) shown as active in public data?
Registry records indicate DR. JOHN S ELLIS (OD) maintains an active NPI.
What kind of doctor is DR. JOHN S ELLIS (OD)?
DR. JOHN S ELLIS (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JOHN S ELLIS (OD)?
Directory geography for DR. JOHN S ELLIS (OD) centers on Little Egg Harbor Twp, New Jersey.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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