Glenn D Ellisor, OD

Optometrist in Kingwood, Texas · NPI 1407900590

Glenn Ellisor is one of 15 optometrists practicing in Kingwood, Texas. Glenn Ellisor practices with Vision Source - Kingwood, PA.

Registry record (NPPES)

NPI
1407900590
Type
Type 1 · Individual
Primary taxonomy
Optometrist, Corneal and Contact Management · 152WC0802X
Address on file
1714 Kingwood Dr
Kingwood, TX 77339-3046
(281) 359-2020
Enumerated
Jan 23, 2007
Record last updated
Jul 8, 2007
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Optometry
Revalidation due
No date set by CMS

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Practice locations

More optometrists in Kingwood

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.