Individual
DR. JENNIFER BUTTERFIELD EADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000989
VA
152WC0802X
Corneal and Contact Management Optometrist
0618000989
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101713
BCBS
VA
01
—
2116982
MAMSI
VA
01
—
2427295
PHCS
VA
01
—
9381456
UHC
VA
Enumeration date
03/14/2006
Last updated
03/29/2024
Update your record
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