DR. ROBERT E. ELLIOTT (O.D.) – Optometrist, NPI 1669450151

DR. ROBERT E. ELLIOTT (O.D.) is a healthcare provider. based in Racine, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2658 (WI). The NPI Number for DR. ROBERT E. ELLIOTT (O.D.) is 1669450151

Main info

Male
Sole Proprietor
34 Years Of Experience
Name
DR. ROBERT E. ELLIOTT (O.D.)
NPI
1669450151
Phone
(262) 632-2020
Address
2722 OLD MILL DR
Enumeration Date
4 January 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2626322020
Graduation Year
1992 (34 years ago)
PAC ID
9830180470
Professional Enrollment ID
I20040521000432
Address ID
WI534051320RA2722XDRXX400
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

798 OPTOMETRY in WI

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Provider Addresses for DR. ROBERT E. ELLIOTT (O.D.)

  • Old Mill Drive, Racine, Wisconsin, 53405, United States

    RACINE, WI 534051320

    Phone: (262) 632-2020

    Fax: (262) 632-7085

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $630.

Total Amount is formed as General ($630) + Research ($0) + Ownership ($0) = $630.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: CooperVision Inc. ($373).

Total Amount

$630

General + Research + Ownership

Payments

7

Total payment records

General Amount

$630

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2004-05-21

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
I20040521000432IOptometryWITBD

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 minutes2726$0
92250Photography of the retina2624$0
92014Established patient complete exam of visual system2626$0
99213Established patient office or other outpatient visit, 20-29 minutes1712$0
View full utilization report →

Insurance plans in this area (ZIP 53405)

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Reviews

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Frequently asked questions

How do I look up DR. ROBERT E. ELLIOTT (O.D.) by NPI?
Use NPI 1669450151 when you need to reference DR. ROBERT E. ELLIOTT (O.D.) in forms, claims, or directories.
Does this profile mean DR. ROBERT E. ELLIOTT (O.D.) is currently active?
Yes — DR. ROBERT E. ELLIOTT (O.D.) appears active in the national provider directory.
Does DR. ROBERT E. ELLIOTT (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for DR. ROBERT E. ELLIOTT (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. ROBERT E. ELLIOTT (O.D.)?
We surface Racine, Wisconsin for DR. ROBERT E. ELLIOTT (O.D.) based on available NPPES addresses.
How can I contact DR. ROBERT E. ELLIOTT (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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