Ellington Eyecare PLLC
NPI 1184368334ActiveOrganization· Optometrist· Pueblo, CO
Optometrist in Pueblo, Colorado, registered in NPPES in April 2022, part of Ellington Eyecare PLLC. The authorized official on file is Jacqueline Carmen Elizabeth Evans, OD, Owner.
Overview
| NPI | 1184368334 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ellington Eyecare PLLC |
| NPI issued | Apr 25, 2022 |
| Last updated in NPPES | May 21, 2024 |
| Certified by provider | May 21, 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 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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