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 (OWNER)
(650) 278-7610
Entity
Organization
Contact information
Practice address
1580 BRANAN FIELD RD, MIDDLEBURG, FL 32068-8427
(904) 214-9102
Mailing address
4875 S JASON ST, ENGLEWOOD, CO 80110-6414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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