Active NPI
Jennifer L Crowley, O.D.
- Optometrist
- Reynoldsburg, OH
National Provider Identifier
1023178274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4476
- Practice address
- 8084 E Broad St
Reynoldsburg, OH 43068-8024 - Phone
- (614) 864-3937
- Fax
- (614) 864-9008
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4476 | OH | Primary |
Addresses
Primary practice location
8084 E Broad St
Reynoldsburg, OH 43068-8024
Mailing address
8084 E Broad St
Reynoldsburg, OH 43068-8024
Phone (614) 864-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0938329 | Medicaid | OH |
Other names 1
- Dr. Jennifer L McBurney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040223000823 | OH | Practitioner - Optometry | 2365338860 | Practice locations: Reynoldsburg, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8084 E Broad St
Reynoldsburg, OH 43068-8024
Phone (614) 864-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4476 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1023178274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8084 E BROAD ST",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430688024",
"telephone_number": "614-864-3937",
"fax_number": "614-864-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8084 E BROAD ST",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430688024",
"telephone_number": "614-864-3937",
"fax_number": "614-864-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0938329",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MCBURNEY",
"middle_name": "L",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.