NPI 1790400893 · live from the CMS NPI Registry
Ellington Eyecare PLLC
Optometrist in Saint Clair, PA. National Provider Identifier 1790400893, active.
NPI record
| NPI | 1790400893 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 500 Terry Rich Blvd, Saint Clair, PA 17970 |
| Practice phone | 570-429-2650 |
| Mailing address | 4875 S Jason St, Englewood, CO 80110 |
| Enumerated | October 11, 2022 |
| Last updated | October 11, 2022 |
| Authorized official | Jacqueline Evans, Owner/President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.