Active NPI
Jaime Renae Easton, O.D.
- Optometrist
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001497
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206283 | Other | VA | ANTHEM |
| P00366761 | Other | VA | PALMETTO RR MEDICARE |
| 010286042 | Medicaid | VA |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Creek Eyecare LLC | Optometrist | Current | 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.
-
- Optometrist
- Zion Crossroads, VA
- NPI 1225560394
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.