Ellington Eyecare Pllc

NPI #1629799226 in Indian Harbour Beach, Florida

Provider Information

NPI Number: 1629799226
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: Sep 12, 2022
Last Updated: Sep 12, 2022

Practice Location

Address: 1001 E EAU GALLIE BLVD
City: Indian Harbour Beach
State: Florida
ZIP Code: 32937-4907
Phone: (321) 777-5504

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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