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

Dr. Joe E Ellis, OD

Individual provider Optometrist · NPI 1174597934

Dr. Joe E Ellis, OD is an Optometry in Benton, Kentucky. Graduated from Southern College of Optometry in 1986, 40 years ago. Practices with Clarkson Optometry Midwest Inc, a 76-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
40
Trained at
Southern College of Optometry
Licensed in
KY
In the registry since
2006
Specialties on file
2
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

109 W 5th St
Benton, KY 42025-1123
Phone: (270) 527-7421
Fax: (270) 527-3118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1073DT (KY)
Specialist Taxonomy 174400000X · Licence 1073DT (KY)

Record details

NPI number1174597934
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 16, 2006
Last updated in NPPESMarch 7, 2023
Mailing addressPo Box 256, Benton, KY 42025-0256

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1986 (40 years in practice)
Group practice Clarkson Optometry Midwest Inc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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