Ellington Eyecare PLLC
NPI 1053055210ActiveOrganization· Optometrist· Englewood, CO
Optometrist in Englewood, Colorado, registered in NPPES in April 2022, part of Ellington Eyecare PLLC. The authorized official on file is Jacqueline Carmen Elizabeth Evans, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053055210 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ellington Eyecare PLLC |
| NPI issued | Apr 25, 2022 |
| Last updated in NPPES | May 20, 2025 |
| Certified by provider | May 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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