Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629105622 Individual Practitioner Male Practitioner

Dr. Gregory L Ellis , OD

Optometrist • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Ellis, OD is a certified Optometrist practicing in Boulder, CO. With approximately 35 years of clinical experience since graduating from Ferris State College - College Of Optometry in 1991, Dr. Ellis delivers high-quality medical care to the local community at 580 MOHAWK DR.

Dr. Ellis is affiliated with Colorado Permanente Medical Group Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

580 Mohawk Dr

Boulder, CO 803033712

Telephone 3033384545
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Ferris State College - College Of Optometry

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Boulder, CO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +12.4 yrs vs City Avg
City Avg: 22.6 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
40 Specialists

Practicing in Boulder, CO (1307 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellis (35 Years) 35 Yrs
Boulder Specialty Average (22.6 Years) 22.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-06-07
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CO 2078

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
09755012 (CO)
Commercial Insurance / Payer ID Kaiser-Commercial Number
014851

Hospital & Practice Group Affiliations

Colorado Permanente Medical Group Pc

580 Mohawk Dr, Boulder, CO 803033712

Phone: 3033384545

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Robert Burman , MD, PhD

Radiology - Diagnostic Radiology

NPI 1003013830

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1003029299

Doctor of Medicine (M.D.)

NPI 1003038902

Doctor of Medicine (M.D.)

Cassandra Buzard , RN

Registered Nurse

NPI 1003054461

Registered Nurse

Erik Petersen , LPC

Counselor - Professional

NPI 1003060302

Licensed Professional Counselor

Lauren Hillary , PA-C

Physician Assistant

NPI 1003075821

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address June 07, 2021

Registered at 10350 E DAKOTA AVE, DENVER, CO 802471314 (Tel: 3033384545)

📍
Updated Practice Location February 06, 2020

Registered at 580 MOHAWK DR, BOULDER, CO 803033712 (Tel: 3033384545)

📍
Updated Business Mailing Address February 06, 2020

Registered at 2500 S HAVANA ST, AURORA, CO 800141618 (Tel: 3033384545)

NPI Profile Active December 02, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address December 02, 2017

Registered at 10350 E DAKOTA AVE, DENVER, CO 802471314 (Tel: 3033384545)

📍
Updated Practice Location December 02, 2017

Registered at 280 EXEMPLA CIR, LAFAYETTE, CO 800263370 (Tel: 7205366681)

👤
Provider Name / Credentials Updated December 02, 2017

Recorded as GREGORY ELLIS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2017

Optometrist (License #2078 in CO)

NPI Profile Active May 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2010

Registered at 280 EXEMPLA CIR, LAFAYETTE, CO 800263370 (Tel: 7205366681)

📍
Updated Business Mailing Address May 12, 2010

Registered at 280 EXEMPLA CIR, LAFAYETTE, CO 800263370 (Tel: 7205366681)

👤
Provider Name / Credentials Updated May 12, 2010

Recorded as GREGORY ELLIS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2010

Optometrist (License #2078 in CO)

🟢
Initial NPI Registration & Enumeration February 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629105622
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2007
Last Update: June 07, 2021
Sole Proprietor: No

Mailing Address

10350 E Dakota Ave

Denver, CO 802471314

Phone: 3033384545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.