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 EVANS OD (OWNER/PRESIDENT)
(650) 278-7610
Entity
Organization
Contact information
Practice address
200 W 136TH AVE, WESTMINSTER, CO 80234-1204
(720) 929-1776
Mailing address
4875 S JASON ST, ENGLEWOOD, CO 80110-6414
(650) 278-7610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053726315
—
CO
Enumeration date
08/03/2021
Last updated
09/12/2022
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