Ellington Eyecare Pllc

NPI #1508501404 in Oakland, Maryland

Provider Information

NPI Number: 1508501404
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: May 4, 2022
Last Updated: Jul 10, 2022

Practice Location

Address: 13164 GARRETT HWY
City: Oakland
State: Maryland
ZIP Code: 21550-1117
Phone: (301) 334-9183

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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