Ellington Eyecare Pllc

NPI #1053128793 in Hagerstown, Maryland

Provider Information

NPI Number: 1053128793
Entity Type: Organization
Organization Name: Ellington Eyecare Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: ELLINGTON EYECARE PLLC
Primary Specialty: Optometrist
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 17850 GARLAND GROH BLVD
City: Hagerstown
State: Maryland
ZIP Code: 21740-1944
Phone: (301) 714-1380

Authorized Official

Name: JACQUELINE CARMEN ELIZABETH EVANS, OD
Title: OPTOMETRIST
Phone: (650) 278-7610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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