Ellington Eyecare PLLC
NPI 1053128793ActiveOrganization· Optometrist· Hagerstown, MD
Optometrist in Hagerstown, Maryland, registered in NPPES in December 2024, part of Ellington Eyecare PLLC. The authorized official on file is Jacqueline Carmen Elizabeth Evans, OD, Optometrist.
Overview
| NPI | 1053128793 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ellington Eyecare PLLC |
| NPI issued | Dec 16, 2024 |
| Last updated in NPPES | Dec 16, 2024 |
| Certified by provider | Dec 16, 2024 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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