Individual provider Active NPI

Jennifer L Crowley, O.D.

  • Optometrist
  • Reynoldsburg, OH
National Provider Identifier
1023178274
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4476 Issued in OH
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

Updated by the provider on Aug 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0938329MedicaidOH

Other names 1

  • Dr. Jennifer L McBurney Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4476OHMDChiropractor

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

Verify at the official NPI Registry.