Ellington Opticians

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

585 Issued in VA

Legal business name

ELLINGTON OPTICIANS

Practice address

201 Temple Ave
B
Colonial Heights, VA 23834-2801

Phone

(804) 526-6119

Fax

(804) 526-0166

NPI assigned

Dec 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Edward Ellington Jr.

Title

Owneroptician

Phone

(804) 526-6119

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1639230683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TEMPLE AVE",
            "address_2": "B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342801",
            "telephone_number": "804-526-6119",
            "fax_number": "804-526-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TEMPLE AVE",
            "address_2": "B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342801",
            "telephone_number": "804-526-6119",
            "fax_number": "804-526-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLINGTON OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "ELLINGTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNEROPTICIAN",
        "authorized_official_telephone_number": "804-526-6119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "VA",
            "license": "585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "BCBS",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11663464",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daphne C Edwards, RN, CPNP
• Elizabeth Ann Edwards, FNP-BC
• Grace Edwards, REGISTERED NURSE
• Jaclyn Provau Eldridge, OTR/L
• David Eley
• Ashley Elliott, NP
• Sarah Ellis, FNP-C
• Shawn Ellis
• Nicholas A Emiliani, M.D.
• Barbara Diane Emory, LMT

• Non-Pharmacy Dispensing Site in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Non-Pharmacy Dispensing Site in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.