Dr Glenn D Ellisor, OD | |
1714 Kingwood Dr, Kingwood, TX 77339-3046 | |
(281) 359-2020 | |
(281) 359-7019 |
Full Name | Dr Glenn D Ellisor |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 40 Years |
Location | 1714 Kingwood Dr, Kingwood, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407900590 | NPI | - | NPPES |
81071Q | Other | TX | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 03337TG (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vision Source - Kingwood, Pa | 9638152267 | 5 |
Provider Name | Vision Source - Kingwood, Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265564769 PECOS PAC ID: 9638152267 Enrollment ID: O20040612000316 |
Mailing Address | Practice Location Address |
---|---|
Dr Glenn D Ellisor, OD 2114 Golden Pond Dr, Kingwood, TX 77345-1636 Ph: (281) 359-2020 | Dr Glenn D Ellisor, OD 1714 Kingwood Dr, Kingwood, TX 77339-3046 Ph: (281) 359-2020 |
Joe D Nguyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22741 Professional Dr, Kingwood, TX 77339 Phone: 281-319-4334 Fax: 281-319-4855 | |
Sammy-kumar Hogan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 25 N Main St, Kingwood, TX 77339 Phone: 281-361-2020 | |
Maria Nguyen-trinh, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 25639 Highway 59 N Ste 109, Kingwood, TX 77339 Phone: 832-810-2020 | |
Dr. Paul Michael Palumbo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22741 Professional Dr, Kingwood, TX 77339 Phone: 281-319-4334 Fax: 281-319-4855 | |
Hans M. Kell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1714 Kingwood Dr, Kingwood, TX 77339 Phone: 281-359-2020 Fax: 303-673-9578 | |
Dr. Christine Elizabeth Acosta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1714 Kingwood Dr, Kingwood, TX 77339 Phone: 281-359-2020 | |
Brittney Probst, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25 N Main St, Kingwood, TX 77339 Phone: 281-361-2020 |