Individual
DR. JAIME RENAE EASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1200 FIVE SPRINGS RD STE G1, CHARLOTTESVILLE, VA 22902-8756
(434) 207-4040
(844) 526-2650
Mailing address
1717 GALLOWAY DR, CHARLOTTESVILLE, VA 22901-3153
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001497
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010286042
—
VA
01
—
206283
ANTHEM
VA
01
—
P00366761
PALMETTO RR MEDICARE
VA
Enumeration date
05/23/2006
Last updated
01/11/2023
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