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

Dr. Gregory L Ellis, OD

Individual provider Optometrist · NPI 1629105622

Dr. Gregory L Ellis, OD is an Optometry in Boulder, Colorado. Graduated from Ferris State College - College of Optometry in 1991, 35 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
35
Trained at
Ferris State College - College of Optometry
Licensed in
CO
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

580 Mohawk Dr
Boulder, CO 80303-3712
Phone: (303) 338-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2078 (CO)

Record details

NPI number1629105622
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated 1991 (35 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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