Ellington Eyecare PLLC
NPI 1659173755ActiveOrganization· Optometrist· Statesboro, GA
Optometrist in Statesboro, Georgia, registered in NPPES in March 2025, part of Ellington Eyecare PLLC. The authorized official on file is Jacqueline Carmen Elizabeth Evans, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659173755 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ellington Eyecare PLLC |
| NPI issued | Mar 27, 2025 |
| Last updated in NPPES | Mar 27, 2025 |
| Certified by provider | Mar 27, 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 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) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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