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

NPI Status: Active since August 20, 2006

Contact Information

915 SUMMIT AVE
OCONOMOWOC, WI
ZIP 53066
Phone: (262) 569-2300
Fax: (262) 569-2266

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  • Individual
  • Female
  • Ophthalmology

About MARY ELLIS

This page provides the complete NPI Profile along with additional information for Mary Ellis, a provider established in Oconomowoc, Wisconsin with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1679688774 assigned on August 2006. The practitioner's primary taxonomy code is 207W00000X with license number 29428-020 (WI). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1679688774
Provider Name
DR. MARY KATHERINE ELLIS MD
Other Name
MARY KATHERINE ELLIS-METZ
Other Name Type
Doing Business As (3)
Gender
Female
Entity Type
Individual
Location Address
915 SUMMIT AVE OCONOMOWOC, WI 53066
Location Phone
(262) 569-2300
Location Fax
(262) 569-2266
Mailing Address
3301 W FOREST HOME AVE MILWAUKEE, WI 53215
Mailing Phone
(414) 647-6326
Mailing Fax
(262) 569-2266
Is Sole Proprietor?
No
Enumeration Date
08-20-2006
Last Update Date
03-07-2023
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Ophthalmologists like Mary Ellis specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
29428-020
License State
WI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
31706000MEDICAID (05)WI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679688774, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 1 + 2 + 8 + 1 + 6 + 7 + 1 + 4 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1679688774.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Registered Nurse
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Audiologist
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Dietitian, Registered
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Dietitian, Registered
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Eyewear Supplier
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Physician Assistant
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Internal Medicine
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Urology
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Pediatrics
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Internal Medicine
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Pediatrics
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Obstetrics & Gynecology
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Pediatrics
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Radiology (Diagnostic Radiology)
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Optometrist
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Otolaryngology
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Orthopaedic Surgery
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Obstetrics & Gynecology
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Family Medicine
915 SUMMIT AVE
OCONOMOWOC, WI 53066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679688774, enumerated as an "individual" on August 20, 2006.

The provider is located at 915 SUMMIT AVE OCONOMOWOC, WI 53066 and the phone number is (262) 569-2300.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.