DR. JOHN L II ELLIS (OD) – Optometrist, NPI 1417947417

DR. JOHN L II ELLIS (OD) is a healthcare provider. based in El paso, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5395T6 (TX). The NPI Number for DR. JOHN L II ELLIS (OD) is 1417947417

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN L II ELLIS (OD)
NPI
1417947417
Phone
(915) 533-1811
Address
3800 N MESA ST
Enumeration Date
21 October 2005
Last Update Date
20 October 2016

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9155331811
Graduation Year
1997 (29 years ago)
PAC ID
4183736176
Group Practice PAC ID
9739394891
Professional Enrollment ID
I20111207000296
Address ID
TX799021535EL3800XSTXX403
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

3,128 OPTOMETRY in TX

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Provider Addresses for DR. JOHN L II ELLIS (OD)

  • North Mesa Street, Downtown Historic District, El Paso, El Paso County, Texas, 79901, United States

    STE B1

    EL PASO, TX 799021535

    Phone: (915) 533-1811

    Fax: (915) 533-3641

    Type: Mailing

  • 3800, North Mesa Street, El Paso, El Paso County, Texas, 79902, United States

    STE C8

    EL PASO, TX 79902

    Phone: (915) 533-1811

    Fax: (915) 533-3641

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $601.

Total Amount is formed as General ($601) + Research ($0) + Ownership ($0) = $601.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($203).

Total Amount

$601

General + Research + Ownership

Payments

20

Total payment records

General Amount

$601

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2011-12-07

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
I20111207000296IOptometryTXTBD

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
92250Photography of the retina6059$0
92014Established patient complete exam of visual system4949$0
99213Established patient office or other outpatient visit, 20-29 minutes3123$0
92145Measurement of corneal pressure1511$0
92083Exam of visual field with extended testing1412$0
View full utilization report →

Insurance plans in this area (ZIP 79902)

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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: 9739394891View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What identifier follows DR. JOHN L II ELLIS (OD) across health systems?
The NPI 1417947417 uniquely identifies DR. JOHN L II ELLIS (OD) in U.S. healthcare data.
Is DR. JOHN L II ELLIS (OD)'s NPI status active today?
Active status means DR. JOHN L II ELLIS (OD)'s NPI record is not deactivated in the public file.
What type of care does DR. JOHN L II ELLIS (OD) provide?
DR. JOHN L II ELLIS (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JOHN L II ELLIS (OD)?
DR. JOHN L II ELLIS (OD) shows a connection to El Paso, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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