Mr. Jason Lee Ellen is a Jenks, Oklahoma based male Optometrist with 25 years of experience in Optometry. He completed his graduation from Other in 1999. He is also affiliated with hospitals like Creek Nation Community Hospital and Cherokee Nation W W Hastings Indian Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jason Lee Ellen is 2272 for Optometry in Oklahoma. Mr. Jason Lee Ellen 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Mr. Jason Lee Ellen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
25+ years
Medical School Attended:
Other
Graduation Year:
1999
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
244 S. Gateway Place, Suite 401, Jenks, Oklahoma, 74037
Phone:
918-747-2020
Fax:
918-747-2056
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7214036821
Enrollment ID:
I20070622000222
NPI Number:
1962405928
NPI Enumeration Date:
24 May, 2005
NPI Last Update On:
22 Mar, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jason Lee Ellen are as mentioned below.
License Number
Specialization
State
Status
2272
Optometry
Oklahoma
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Creek Nation Community Hospital (371333)
Okemah, OK
Critical Access Hospital
Cherokee Nation W W Hastings Indian Hospital (370171)
Tahlequah, OK
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Jason Lee Ellen has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Oklahoma Medical Eye Group (7719291202)
8
Cherokee Nation (5799698742)
306
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jason Lee Ellen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2060377
Other
Oklahoma
UNITED HEALTHCARE
100761000A
Medicaid
Oklahoma
7518168
Other
Oklahoma
AETNA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
244 S. Gateway Place, Suite 401 Jenks, Oklahoma
Zip:
74037
Phone Number:
918-747-2020
Fax Number:
918-747-2056
Patients can reach Mr. Jason Lee Ellen at 244 S. Gateway Place, Suite 401, Jenks, Oklahoma or can call to book an appointment on 918-747-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.