DR. GLENN D ELLISOR O.D.
NPI 1407900590
Optometrist - Corneal and Contact Management in Kingwood, TX

Q: What is Glenn Ellisor's NPI number?

The NPI number for Glenn Ellisor is 1407900590. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Glenn Ellisor's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Ellisor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment

1714 KINGWOOD DR, KINGWOOD, TX 77339(281) 359-2020(281) 359-7019 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Glenn D Ellisor O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLENN D ELLISOR O.D. (NPI 1407900590) is an individual corneal and contact management provider in Kingwood, Texas, licensed in Texas (03337TG) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1984).

NPPES Registry Identity

NPI1407900590

Entity TypeIndividualMale

Primary Taxonomy152WC0802X

Provider Legal NameDR. GLENN D ELLISORCredential: O.D.

Location Address1714 KINGWOOD DRKingwood, TX 77339-3046

Mailing Address2114 Golden Pond DrKingwood, TX 77345-1636 · (281) 359-2020 · Fax (281) 359-7019

Phone(281) 359-2020

Fax(281) 359-7019

Sole ProprietorYes

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1984

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407900590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in TX · 03337TG

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

1714 KINGWOOD DR, Kingwood, TX 77339

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Other Identifiers 3

Medicare UPINT91717TX

Other81071QTX · Blue Cross

Medicare ID-Type Unspecified8372B9TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Glenn D Ellisor O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719980143

PECOS Enrollment IDI20101029000466

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANS M. KELL O.D.

Optometrist