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

Dr. Timothy J. Ellis, OD

Individual provider Optometrist · NPI 1285644856

Dr. Timothy J. Ellis, OD is an Optometrist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
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

500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
Fax: (208) 422-1080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0882 (ID)

Record details

NPI number1285644856
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESJuly 8, 2007

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