Individual provider Active NPI

Jaime Renae Easton, O.D.

  • Optometrist
  • Charlottesville, VA
National Provider Identifier
1780639351
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001497 Issued in VA
Practice address
1200 Five Springs Rd Ste G1
Charlottesville, VA 22902-8756
Phone
(434) 207-4040
Fax
(844) 526-2650
NPI assigned
May 23, 2006
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001497 VA Primary

Addresses

Primary practice location

1200 Five Springs Rd Ste G1
Charlottesville, VA 22902-8756

Mailing address

1717 Galloway Dr
Charlottesville, VA 22901-3153

Other practice location 1

110 S Pantops Dr
Charlottesville, VA 22911-8672
Phone (434) 977-5160

Other practice location 2

34 Jefferson Ct Ste B
Zion Crossroads, VA 22942-9602
Phone (434) 207-4040

Other identifiers 3

IdentifierTypeStateIssuer
206283OtherVAANTHEM
P00366761OtherVAPALMETTO RR MEDICARE
010286042MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061220000094 VA Practitioner - Optometry 3375542392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 Five Springs Rd
Suite G1
Charlottesville, VA 22902-8756
Phone (434) 207-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Creek Eyecare LLC Optometrist CurrentSince Mar 29, 2017 Accepting new patients

Locations

1200 Five Springs Rd
Ste G1
Charlottesvle, VA 22902
Phone (434) 207-4040

34 Jefferson Ct
#B
Zion Crossroads, VA 22942
Phone (434) 207-4040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1780639351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 GALLOWAY DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FIVE SPRINGS RD STE G1",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229028756",
            "telephone_number": "434-207-4040",
            "fax_number": "844-526-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Pantops Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229118672",
            "country_code": "US",
            "telephone_number": "434-977-5160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Jefferson Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Zion Crossroads",
            "state": "VA",
            "postal_code": "229429602",
            "country_code": "US",
            "telephone_number": "434-207-4040",
            "fax_number": "844-526-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTON",
        "first_name": "JAIME",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "206283",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "P00366761",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010286042",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.