Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Damon Matthew Ellis, OD

Individual provider Optometrist · NPI 1023231917

Dr. Damon Matthew Ellis, OD is an Optometry in Oakland, California. Graduated from University of California - School of Optometry in 2002, 24 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Trained at
University of California - School of Optometry
Licensed in
CA
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3205 Grand Ave
Oakland, CA 94610-2740
Phone: (510) 444-0666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11878T (CA)

Record details

NPI number1023231917
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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