Active NPIOrganization

Ellington Eyecare PLLC

Optometrist in Saint Clair, Pennsylvania

NPI Number1790400893
Practice location
500 Terry Rich Blvd, Saint Clair, PA 17970-1090
Fax
—
Last updated
October 11, 2022

Ellington Eyecare PLLC is a healthcare organization based in Saint Clair, PA. Ellington Eyecare PLLC practices in Saint Clair, PA. The NPI Number for Ellington Eyecare PLLC is 1790400893. The current practice location address for Ellington Eyecare PLLC is 500 Terry Rich Blvd, Saint Clair, PA 17970-1090 and can be reached out via phone at 570-429-2650.

Provider Profile Details

NPI Number
1790400893
Provider Name
Ellington Eyecare PLLC
Provider Entity Type
Organization
Address
500 Terry Rich Blvd, Saint Clair, PA 17970-1090
Phone Number
570-429-2650
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
Yes
Parent Organization
Ellington Eyecare PLLC
Authorized Official
Jacqueline Carmen Elizabeth Evans, OD · Owner/President · 650-278-7610
Provider Enumeration Date
October 11, 2022
Last Update Date
October 11, 2022
Certification Date
October 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Terry Rich Blvd
Saint Clair, PA 17970-1090
Zip
17970-1090
Phone Number
570-429-2650
Saint Clair, PA 17970Get directions →

Provider Business Mailing Address Details

Address
4875 S Jason St
Englewood, CO 80110-6414
City
Englewood
State
CO
Zip
80110-6414
Phone Number
650-278-7610

License Information

Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ellington Eyecare PLLC?

The NPI number of Ellington Eyecare PLLC is 1790400893. It was assigned on October 11, 2022 and is currently active in the NPPES registry.

What is the specialty of Ellington Eyecare PLLC?

Ellington Eyecare PLLC is registered under the primary taxonomy Optometrist (code 152W00000X).

Where does Ellington Eyecare PLLC practice?

The practice location is 500 Terry Rich Blvd, Saint Clair, PA 17970-1090. The office can be reached at 570-429-2650 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790400893 directly on the NPPES registry website.

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