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Ellington Eyecare PLLC

NPI 1417727942ActiveOrganization· Optometrist· La Junta, CO

Optometrist in La Junta, Colorado, registered in NPPES in January 2024, part of Ellington Eyecare PLLC. The authorized official on file is Jacqueline Carmen Elizabeth Evans, OD, Owner.

Overview

NPI1417727942
StatusActive
Entity typeOrganization (subpart)
Parent organizationEllington Eyecare PLLC
NPI issuedJan 5, 2024
Last updated in NPPESJan 5, 2024
Certified by providerJan 5, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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