ELLINGTON EYECARE PLLC
NPI 1184368334
Optometrist in Pueblo, CO
About Ellington Eyecare Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLINGTON EYECARE PLLC (NPI 1184368334) is a healthcare organization registered as an optometrist in Pueblo, Colorado and active in the NPI registry since April 2022. The organization lists Jacqueline Carmen Elizabeth Evans, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Ellington Eyecare PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
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 1184368334. It was assigned to this organization in the NPPES registry on April 25, 2022.
Where is Ellington Eyecare PLLC located?
Ellington Eyecare PLLC is located at 412 Eagleridge Blvd, Pueblo, CO 81008. The listed phone number is (719) 553-0916.
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), 6 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 May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Ellington Eyecare Pllc · NPI 1184368334
Optometrist organization in Pueblo, Colorado. Organization record, active in the CMS NPPES registry since April 25, 2022.
## Identity
- **NPI:** 1184368334 (Entity type: Organization)
- **Enumerated:** April 25, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** Yes (part of Ellington Eyecare Pllc)
- **Authorized official:** Jacqueline Evans, OWNER
## Practice location
- **Address:** 412 EAGLERIDGE BLVD, Pueblo, CO 81008-2100
- **Phone:** (719) 553-0916
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184368334) · Data from the CMS NPPES public registry.