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DR. MARY KATHERINE ELLIS MD
NPI 1679688774
Ophthalmology in Oconomowoc, WI

Active since August 20, 2006
915 SUMMIT AVE, OCONOMOWOC, WI 53066(262) 569-2300(262) 569-2266 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Katherine Ellis Md NPPES

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

DR. MARY KATHERINE ELLIS MD (NPI 1679688774) is an individual ophthalmology provider in Oconomowoc, Wisconsin, licensed in Wisconsin (29428-020) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1679688774
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARY KATHERINE ELLISCredential: MD
Location Address915 SUMMIT AVEOconomowoc, WI 53066-3994
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326 · Fax (414) 671-8860
Phone(262) 569-2300
Fax(262) 569-2266
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1679688774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 29428-020
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
915 SUMMIT AVE, Oconomowoc, WI 53066
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Other Names 1

Doing Business As (3)Mary Katherine Ellis-metz

Other Identifiers 1

Medicaid31706000WI

Other Providers at the Same Location NPPES 20

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

MEGAN SOBOTIK
Occupational Therapist
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 560-1115
DR. MICHELLE M MIELKE MD
Pediatrics
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2300
SOLIDARITUS HEALTH WISCONSIN SC
Family Medicine
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (414) 348-8970
CARRIE A NARKIS MD
Internal Medicine
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2279
DR. FRANKLIN L SMITH MD
Urology
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2274
DR. JOHN W MURPHY MD
Internal Medicine
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2300
AURORA MEDICAL GROUP, INC.
Eyewear Supplier
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2228
DR. MARK R WESSLING MD
Pediatrics
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2300

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 Mary Ellis's NPI number?

The NPI number for Mary Ellis is 1679688774. It was assigned to this individual provider in the NPPES registry on August 20, 2006. The provider is also known as Mary Katherine Ellis-Metz.

Where is Mary Ellis located?

Mary Ellis practices at 915 Summit Ave, Oconomowoc, WI 53066. The listed phone number is (262) 569-2300.

What is Mary Ellis's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Mary Ellis was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.