MEDICARE: DR. SRIMATHY JAIN MD

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	207W00000X	Ophthalmology Physician	0101286788	VA
2	207WX0110X	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	0101286788	VA

General Provider Information

NPI Number	:	1134812100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SRIMATHY JAIN MD

Provider Business Mailing Address
First Line	:	PO BOX 749112
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9112
Country	:	US
Telephone Number	:	434-295-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 JEFFERSON PARK AVE
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0005
Country	:	US
Telephone Number	:	434-924-5485
Fax Number	:

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

Provider Enumeration Date	:	05/26/2023
Last Update Date	:	08/27/2025

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