VISION SITE
NPI 1619264090
Optometrist in Emory, TX

Q: What is Elk Vision Holdings LLC's NPI number?

The NPI number for Elk Vision Holdings LLC is 1619264090. It was assigned to this organization in the NPPES registry on July 6, 2011. The provider is doing business as Vision Site.

Q: What is Elk Vision Holdings LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since July 06, 2011

886 E LENNON DR STE 102, EMORY, TX 75440(903) 474-9090(903) 474-9111 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Vision Site NPPES

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

VISION SITE (NPI 1619264090) is a healthcare organization registered as an optometrist in Emory, Texas and active in the NPI registry since July 2011. The organization lists Eric Lee Ketchum, Owner, as its authorized official.

NPPES Registry Identity

NPI1619264090

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameELK VISION HOLDINGS LLC

Location Address886 E LENNON DR STE 102Emory, TX 75440-3216

Mailing Address886 E Lennon Dr Ste 102Emory, TX 75440-3216 · (903) 474-9090 · Fax (903) 474-9111

Phone(903) 474-9090

Fax(903) 474-9111

Organization SubpartNo

Authorized OfficialEric Lee KetchumOwner · (903) 474-9090

Enumeration DateJuly 6, 2011

✔ NPI 1619264090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 7878T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 7878T (TX)

Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 7878T (TX)

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 7878T (TX)

Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 7878T (TX)

Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 7878T (TX)

Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 7878T (TX)

886 E LENNON DR STE 102, Emory, TX 75440

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Other Names 1

Doing Business AsVision Site

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vision Site is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vision Site, which bills Medicare for the services this clinician delivers.

Clinician (1)

Eric Ketchum, O.D.

Optometry

NPI 1275820649

886 E LENNON DR STE 102
Emory, TX 75440

(903) 474-9090

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elk Vision Holdings LLC's NPI number?

The NPI number for Elk Vision Holdings LLC is 1619264090. It was assigned to this organization in the NPPES registry on July 6, 2011. The provider is doing business as Vision Site.

Where is Elk Vision Holdings LLC located?

Elk Vision Holdings LLC is located at 886 E Lennon Dr Ste 102, Emory, TX 75440. The listed phone number is (903) 474-9090.

What is Elk Vision Holdings LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Elk Vision Holdings LLC enrolled in Medicare?

Yes. Elk Vision Holdings LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elk Vision Holdings LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Elk Vision Holdings LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Elk Vision Holdings LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Elk Vision Holdings LLC 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 Elk Vision Holdings LLC was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.