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ELLINGTON EYECARE PLLC
NPI 1053128793
Optometrist in Hagerstown, MD

Active since December 16, 2024
17850 GARLAND GROH BLVD, HAGERSTOWN, MD 21740(301) 714-1380 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellington Eyecare Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLINGTON EYECARE PLLC (NPI 1053128793) is a healthcare organization registered as an optometrist in Hagerstown, Maryland and active in the NPI registry since December 2024. The organization lists Jacqueline Carmen Elizabeth Evans, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1053128793
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameELLINGTON EYECARE PLLC
Location Address17850 GARLAND GROH BLVDHagerstown, MD 21740-1944
Mailing Address3301 Tower RdAurora, CO 80011-3509
Phone(301) 714-1380
Organization SubpartYes
Authorized OfficialJacqueline Carmen Elizabeth EvansOptometrist · (650) 278-7610
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
✔ NPI 1053128793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
17850 GARLAND GROH BLVD, Hagerstown, MD 21740
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellington Eyecare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Ellington Eyecare PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Simran Sethi, O.D.
Optometry
NPI 1912361544
333 RIVER ST 319
Hoboken, NJ 07030
(917) 821-6912
✔ PECOS✔ Accepts Medicare211 mi
Jacqueline Evans, OD
Optometry
NPI 1053726315
3301 TOWER RD
Aurora, CO 80011
(720) 374-8477
✔ PECOS✔ Accepts Medicare1,435 mi
Abbey Studer, O.D.
Optometry
NPI 1134566847
10350 E DAKOTA AVE
Denver, CO 80247
(303) 338-4545
✔ PECOS✔ Accepts Medicare1,440 mi
Jaime Johnson
Optometry
NPI 1679908032
30 THE SHOPS AT MISSION VIEJO
Mission Viejo, CA 92691
(949) 364-4004
✔ PECOS✔ Accepts Medicare2,240 mi
Sophia Moh, OD
Optometry
NPI 1487372629
950 CODDINGTOWN CTR
Santa Rosa, CA 95401
(707) 528-3876
✔ PECOS✔ Accepts Medicare2,395 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellington Eyecare PLLC's NPI number?

The NPI number for Ellington Eyecare PLLC is 1053128793. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Ellington Eyecare PLLC located?

Ellington Eyecare PLLC is located at 17850 Garland Groh Blvd, Hagerstown, MD 21740. The listed phone number is (301) 714-1380.

What is Ellington Eyecare PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ellington Eyecare PLLC enrolled in Medicare?

Yes. Ellington Eyecare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellington Eyecare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Ellington Eyecare PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ellington Eyecare PLLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.