Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1134124928 Deactivated / Inactive NPI Male Practitioner

Dr. Louis P Ellen , OD

Optometrist • Jackson, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Louis Ellen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2005
NPI Deactivation Date April 24, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Louis Ellen, OD was a registered Optometrist practicing in Jackson, KY. Throughout an active medical career spanning 20 years, Dr. Ellen provided care at the practice location at 540 JETT DR until profile deactivation on 2025-04-24.

Practice Location & Contact Primary Location

Practice Address

540 Jett Dr

Jackson, KY 413399622

Telephone 6066669393
Fax 6066664131
Associated Practice Facility / Clinic
🏢 Jackson Hospital Corporation Facility NPI 1346247962

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Jackson, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Jackson, KY (836 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

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License KY 1500DT

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

7 Associated Practitioners
Brittney Herald , FNP

Nurse Practitioner - Family

NPI 1053960534

Family Nurse Practitioner

Dr. Aaron Johnson , DO

Internal Medicine

NPI 1083804041

Doctor of Osteopathic Medicine (D.O.)

Dr. Sherif Malek , DO

Emergency Medicine

NPI 1265548127

Doctor of Osteopathic Medicine (D.O.)

Dr. Eunice Johnson , MD

Obstetrics & Gynecology - Gynecology

NPI 1528067840

Doctor of Medicine (M.D.)

Carl Gross

Physician Assistant

NPI 1851842199
Dr. Nolan Sakow , MD

General Practice

NPI 1861594509

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 24, 2025

Record deactivated on April 24, 2025

NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 27, 2007

Registered at 540 JETT DR, JACKSON, KY 413399622 (Tel: 6066669393)

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Updated Business Mailing Address November 27, 2007

Registered at 1401 HARRODSBURG RD, STE B75, LEXINGTON, KY 405041724 (Tel: 8592789393)

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Provider Name / Credentials Updated November 27, 2007

Recorded as LOUIS ELLEN, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Optometrist (License #1500DT in KY)

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Initial NPI Registration & Enumeration June 17, 2005

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: 1134124928
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2005
Last Update: November 27, 2007
Deactivation Date: April 24, 2025

Mailing Address

1401 Harrodsburg Rd, Ste B75

Lexington, KY 405041724

Phone: 8592789393

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.