Eaddy, Jennifer Butterfield
Eaddy, Jennifer Butterfield is an individual health care provider with primary practice located at 9300 Dewitt Loop , Fort Belvoir VA 22060-5285. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Eaddy, Jennifer Butterfield can be contacted via phone (571) 231-1600.Contact Information
Primary practice address
9300 Dewitt Loop
Fort Belvoir VA 22060-5285
Phone: (571) 231-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 0618000989 | Virginia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000989 | Virginia |
Profile Details
| NPI number | 1790753879 |
|---|---|
| LBN Legal business name | Eaddy, Jennifer Butterfield |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Mar 29th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790753879 | NPPES |
| Virginia | Other | 9381456 | UHC |
| Virginia | Other | 101713 | UHC |
| Virginia | Other | 2427295 | UHC |
| Virginia | Other | 2116982 | UHC |
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