Ellington Eyecare Pllc

NPI #1184368334 in Pueblo, Colorado

Provider Information

NPI Number: 1184368334
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: Apr 25, 2022
Last Updated: May 21, 2024

Practice Location

Address: 412 EAGLERIDGE BLVD
City: Pueblo
State: Colorado
ZIP Code: 81008-2100
Phone: (719) 553-0916

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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