MEDICARE: BRITTANY LASHAE EATON OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TA2923	MD

General Provider Information

NPI Number	:	1568141836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY LASHAE EATON OD

Provider Business Mailing Address
First Line	:	826 WASHINGTON RD STE 200
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5780
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 WOLCOTT DR
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-4311
Country	:	US
Telephone Number	:	--
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2023
Last Update Date	:	03/29/2025

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