IndividualActive
Jerry Elliott, O.D.
NPI 1417020884 · Optometrist · Garland, TX
Jerry Elliott, O.D. is a Optometrist provider in Garland, TX (NPI 1417020884).
Provider details
- NPI number
- 1417020884
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2081T (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3159 S Garland Ave
511b
Garland, TX 75041-4000
Phone: (972) 840-1776
Fax: (972) 840-1886
Street-level locationGet directions
Mailing address
10442 Lippitt Ave
Dallas, TX 75218-2251
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2007-07-09
Frequently asked questions
- What is Jerry Elliott's NPI number?
- Jerry Elliott's National Provider Identifier (NPI) is 1417020884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Elliott's specialty?
- Jerry Elliott is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jerry Elliott located?
- Jerry Elliott's practice location on file with NPPES is 3159 S Garland Ave, Garland, TX 75041-4000.
- What is Jerry Elliott's phone number?
- The practice phone number listed in the NPPES registry for Jerry Elliott is (972) 840-1776.
- Is Jerry Elliott's NPI active?
- Yes — Jerry Elliott's NPI (1417020884) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.