Individual
JAY D EACKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
808 TRITON CT STE 100, NEWPORT NEWS, VA 23606-4520
(757) 874-4665
(757) 874-1286
Mailing address
802 LOCKWOOD AVE, SUITE C, NEWPORT NEWS, VA 23602-4479
(757) 874-4665
(757) 874-1286
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000257
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0723576002
CIGNA PROVIDER#
VA
01
—
112848
ANTHEM PROVIDER#
VA
01
—
148932100
DEPT OF LABOR PROVIDER#
VA
01
—
51143
SENTARA/OPTIMA PROVIDER#
VA
01
—
540972387
AETNA/TRICARE PROVIDER#
VA
01
—
P00179152
MEDICARE RAILROAD PROVIDE
VA
Enumeration date
07/05/2006
Last updated
01/10/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us