Ellington Eyecare Pllc

NPI #1245077262 in Middleburg, Florida

Provider Information

NPI Number: 1245077262
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: Jul 9, 2024
Last Updated: Jul 9, 2024

Practice Location

Address: 1580 BRANAN FIELD RD
City: Middleburg
State: Florida
ZIP Code: 32068-8427
Phone: (904) 214-9102

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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