Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ellery Isaac

Individual provider Optometrist · NPI 1639699135

Dr. Ellery Isaac is an Optometry in Bloomfield Hills, Michigan. Graduated from Ferris State College - College of Optometry in 2017, 9 years ago. Practices with Birmingham Vision Care, a 3-clinician group and works from 2 locations. Licensed in Michigan.

Years since qualifying
9
Trained at
Ferris State College - College of Optometry
Licensed in
MI
In the registry since
2017
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Practice location Address checks out

4114 W Maple Rd
Bloomfield Hills, MI 48301
Phone: (248) 539-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24307 Harper Ave, Saint Clair Shores, MI 48080-1271 — (586) 775-6733

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005069 (MI)

Record details

NPI number1639699135
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2017
Last updated in NPPESJuly 15, 2019
Mailing address4114 W Maple Rd, Bloomfield Hills, MI 48301-3000

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated 2017 (9 years in practice)
Group practice Birmingham Vision Care — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Bloomfield Hills