L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR
NPI 1760558498
Optometrist in Modesto, CA
About L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR (NPI 1760558498) is a healthcare organization registered as an optometrist in Modesto, California and active in the NPI registry since November 2006. The organization lists L Edward Elliott, Doctor Of Optometry, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted 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)
L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr's NPI number?
The NPI number for L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr is 1760558498. It was assigned to this organization in the NPPES registry on November 27, 2006.
Where is L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr located?
L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr is located at 3601 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 521-1028.
What is L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr enrolled in Medicare?
Yes. L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr 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 L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr was last updated on February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr · NPI 1760558498
Optometrist organization in Modesto, California. Organization record, active in the CMS NPPES registry since November 27, 2006.
## Identity
- **NPI:** 1760558498 (Entity type: Organization)
- **Enumerated:** November 27, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** L Elliott, DOCTOR OF OPTOMETRY
## Practice location
- **Address:** 3601 COFFEE RD, Modesto, CA 95355
- **Phone:** (209) 521-1028 · **Fax:** (209) 521-7488
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2013
- **Other identifiers:** Medicare PIN YYY49873Y (CA); Medicare NSC 0706260001 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1760558498) · Data from the CMS NPPES public registry.