Ellington Eyecare Pllc

NPI #1861130403 in Mc Cook, Nebraska

Provider Information

NPI Number: 1861130403
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 24, 2022
Last Updated: Jul 10, 2022

Practice Location

Address: 1902 W B ST
City: Mc Cook
State: Nebraska
ZIP Code: 69001-3579
Phone: (308) 345-1573

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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