Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285644856 Individual Practitioner Male Practitioner

Dr. Timothy J. Ellis , OD

Optometrist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Ellis, OD is a registered healthcare professional specializing in Optometrist in Boise, ID. Practice services are available at 500 W FORT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 W Fort St

Boise, ID 837024501

Telephone 2084221000
Fax 2084221080
Associated Practice Facility / Clinic
🏢 Boise Vamc Facility NPI 1841258985

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
87 Specialists

Practicing in Boise, ID (385 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ID 0882

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jessica Bernotski , RDH

Dental Hygienist

NPI 1003295999

Registered Dental Hygienist

Dr. Luke Hansen , MD

Psychiatry & Neurology - Psychiatry

NPI 1003521253

Doctor of Medicine (M.D.)

Christopher Gutierrez

Registered Nurse - Gastroenterology

NPI 1003559683
Dr. Michael Glover , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1013235423

Doctor of Medicine (M.D.)

Dr. Ann Trotter , PhD

Psychologist - Clinical

NPI 1013494442

Doctor of Philosophy (Ph.D.)

NPI 1013516293

RNBC, Bachelor of Science in Nursing

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 500 W FORT ST, BOISE, ID 837024501 (Tel: 2084221000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2827 HEATHER PL, BOISE, ID 837021428

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY ELLIS, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #0882 in ID)

🟢
Initial NPI Registration & Enumeration August 08, 2006

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: 1285644856
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2827 Heather Pl

Boise, ID 837021428

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.