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

Individual provider Optometrist · NPI 1497138572

Wade Ellisor, OD is an Optometry in Kingwood, Texas. Graduated from University of Houston - College of Optometry in 2015, 11 years ago. Practices with Vision Source - Kingwood, PA, a 6-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Trained at
University of Houston - College of Optometry
Licensed in
TX
In the registry since
2015
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

1714 Kingwood Dr
Kingwood, TX 77339-3046
Phone: (281) 359-2020
Fax: (281) 359-7019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 8715-T (TX)

Record details

NPI number1497138572
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 7, 2015
Last updated in NPPESJuly 7, 2015
Mailing address1714 Kingwood Dr, Kingwood, TX 77339-3046

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduated 2015 (11 years in practice)
Group practice Vision Source - Kingwood, Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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