DR. JOHN L ELLIS II OD
NPI 1417947417
Optometrist in El Paso, TX
About Dr. John L Ellis Ii Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN L ELLIS II OD (NPI 1417947417) is an individual optometrist in El Paso, Texas, licensed in Texas (5395T6) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John L Ellis Ii Od 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.
Medicare Billing Reassignment
Medicare enrollment records show John Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
El Paso, TX 79902
- Reassigned Medicare billing, Texas enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Ellis's NPI number?
The NPI number for John Ellis is 1417947417. It was assigned to this individual provider in the NPPES registry on October 21, 2005.
Where is John Ellis located?
John Ellis practices at 3800 N Mesa Ste C8, El Paso, TX 79902. The listed phone number is (915) 533-1811.
What is John Ellis's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is John Ellis enrolled in Medicare?
Yes. John Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Ellis reassigns Medicare benefits to Blair And Ellis P.A. (El Paso, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Ellis accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list John Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Ellis was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. John L Ellis II, OD · NPI 1417947417
Optometrist provider in El Paso, Texas. Individual provider, active in the CMS NPPES registry since October 21, 2005.
## Identity
- **NPI:** 1417947417 (Entity type: Individual)
- **Enumerated:** October 21, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 5395T6 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 N MESA, STE C8, El Paso, TX 79902
- **Phone:** (915) 533-1811 · **Fax:** (915) 533-3641
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Blair And Ellis P.A. (NPI 1104950989, El Paso, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Houston - College Of Optometry, class of 1997
## Record status
- **NPPES last updated:** October 20, 2016
- **Other identifiers:** Other 914210; Other 06654720 (NM); Medicare UPIN U72262; and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1417947417) · Data from the CMS NPPES public registry.