Ellen L. Ellsworth, OD Inc
NPI 1568642890 · Optometrist · Mentor, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellen L. Ellsworth, OD Inc is a Optometrist organization in Mentor, OH (NPI 1568642890).
Provider details
- NPI number
- 1568642890
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Ellen Ellsworth, President(440) 352-8031
- License
- 4277 T228 (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2007-11-03
- Last updated
- 2008-07-02
Frequently asked questions
- What is Ellen L. Ellsworth, OD Inc's NPI number?
- Ellen L. Ellsworth, OD Inc's National Provider Identifier (NPI) is 1568642890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellen L. Ellsworth, OD Inc?
- Ellen L. Ellsworth, OD Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Ellen L. Ellsworth, OD Inc located?
- Ellen L. Ellsworth, OD Inc's practice location on file with NPPES is 9930 Johnnycake Ridge Rd, Mentor, OH 44060-6752.
- What is Ellen L. Ellsworth, OD Inc's phone number?
- The practice phone number listed in the NPPES registry for Ellen L. Ellsworth, OD Inc is (440) 352-8031.
- Does Ellen L. Ellsworth, OD Inc accept Medicare?
- Ellen L. Ellsworth, OD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ellen L. Ellsworth, OD Inc?
- The authorized official listed on Ellen L. Ellsworth, OD Inc's NPPES record is Ellen Ellsworth, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellen L. Ellsworth, OD Inc's NPI active?
- Yes — Ellen L. Ellsworth, OD Inc's NPI (1568642890) is active in the NPPES registry as of the last update on 2008-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.