Organization
ELLINGTON EYECARE PLLC
Active
Parent organization
ELLINGTON EYECARE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLINGTON EYECARE PLLC
Authorized official
JACQUELINE CARMEN ELIZABETH EVANS (OPTOMETRIST)
(650) 278-7610
Entity
Organization
Contact information
Practice address
500 GALLERY BLVD, SCARBOROUGH, ME 04074-6606
(207) 885-1476
Mailing address
4875 S JASON ST, ENGLEWOOD, CO 80110-6414
(650) 278-7610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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