| 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 | 41 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: Accepting Medicare Assignments 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 |