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 OD (OPTOMETRIST)
(650) 278-7610
Entity
Organization
Contact information
Practice address
17850 GARLAND GROH BLVD, HAGERSTOWN, MD 21740-1944
(301) 714-1380
Mailing address
3301 TOWER RD, AURORA, CO 80011-3509
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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