Ellington Eyecare PLLC
Optometrist in Westminster, CO. Organization (NPI-2).
NPI number1497429401
StatusActive
Last updated in NPPESSep 12, 2022
Details
- NPI
- 1497429401
- Entity type
- Organization (NPI-2)
- Legal business name
- Ellington Eyecare PLLC
- Organization subpart
- Yes
- Enumeration date
- Aug 3, 2021
- Certification date
- Sep 12, 2022
- Last updated
- Sep 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
200 W 136th AveWestminster, CO 80234-1204
Phone 720-929-1776
Mailing address
4875 S Jason StEnglewood, CO 80110-6414
Phone 650-278-7610
Authorized official
Jacqueline Evans
Owner/President
6502787610
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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