Spring Creek Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001497 Issued in VA

Legal business name

SPRING CREEK EYECARE LLC

Practice address

34 Jefferson CT
Suite B
Zion Crossroads, VA 22942-9602

Phone

(434) 260-0220

Fax

(844) 526-2650

NPI assigned

Mar 29, 2017

Last updated

Mar 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaime Renae Easton, O.D.NPI 1780639351

Title

Owner

Phone

(434) 260-0200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaime Renae Easton, O.D.

  • Optometrist
  • Charlottesville, VA
  • NPI 1780639351
  Medicare reassignment NPD Authorized official
• Lauren P Rivellino, OD

  • Optometrist
  • Staunton, VA
  • NPI 1891945697
  Medicare reassignment NPD

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1225560394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JEFFERSON CT",
            "address_2": "SUITE B",
            "city": "ZION CROSSROADS",
            "state": "VA",
            "postal_code": "229429602",
            "telephone_number": "434-260-0220",
            "fax_number": "844-526-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEFFERSON CT",
            "address_2": "SUITE B",
            "city": "ZION CROSSROADS",
            "state": "VA",
            "postal_code": "229429602",
            "telephone_number": "434-260-0220",
            "fax_number": "844-526-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "EASTON",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-260-0200",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Schmid, M.ED. CCC-SLP
• Sherry J Secrest, PA
• Sarah M Shapiro, MD
• Theresa Simmons, RPH, BCACP
• Megan L Soika, MS, OTRL
• Jennifer Graham Stancil, FNP-C
• Madison Stoddard, MSOT
• Somer Nicole Stone, SLP
• Henry Clay Surber, PA-C
• Mansi Trivedi, MD

• Optometrist in Zion Crossroads, VA
• Providers in Zion Crossroads, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.