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

Dr. Scott J Ellis, OD

Individual provider Optometrist · NPI 1417975079

Dr. Scott J Ellis, OD is an Optometry in Elk City, Oklahoma. Qualified in 2001, 25 years ago. Practices with Doctors Bintz and Ellis, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
25
Licensed in
OK
In the registry since
2006
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

920 N Main St
Elk City, OK 73644-2829
Phone: (580) 243-1121
Fax: (580) 243-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2331 (OK)

Record details

NPI number1417975079
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Doctors Bintz And Ellis — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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