Individual
DR. JENNIFER BUTTERFIELD EADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-1600
Mailing address
1228 SHAKER DR, HERNDON, VA 20170-2406
(703) 450-6996
(703) 450-6996
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
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