Jon Glen Engle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5548 Issued in OH

Practice address

295 High St
Berea, OH 44017-1833

Phone

(440) 234-3800

Fax

(440) 234-2318

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shirley R. Daniel, O.D. and Terry E. Daniel, O.D., Inc.Group PAC ID 7719987452, 3 clinicians

Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.57 of 100Reported as group

Quality

58.53

Promoting interoperability

100

Improvement activities

40

Cost

86.71

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.engle.p19@direct.360care.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mobile Medical Inc

  • Optometrist
  • Perrysburg, OH
  • NPI 1689620015
  Medicare reassignment Care Compare group NPD
• Shirley R. Daniel, O.D. & Terry E. Daniel, O.D., Inc.

  • Optometrist
  • Berea, OH
  • NPI 1407938244
  Medicare reassignment Care Compare group NPD
• Mobile Medical, Inc.

  • Dentist
  • Perrysburg, OH
  • NPI 1629228572
  NPD
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1043389505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 HIGH ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171833",
            "telephone_number": "440-234-3800",
            "fax_number": "440-234-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 HIGH ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171833",
            "telephone_number": "440-234-3800",
            "fax_number": "440-234-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "JON",
        "middle_name": "GLEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora A Edwards, LPCC
• Ember Counseling LLC
• Enchanted Cottage Therapy LLC
• Debra Enderlein, R.N.
• Jennifer Hastings Engle, O.D.
• Marta A Engle, LPCC
• Mercy Ermakov
• Vincent Evanoff, PA-C
• Jacklyn Ann Fairchild, P.C., N.C.C
• Mackenzie Paige Faluski

• Optometrist in Berea, OH
• Providers in Berea, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.

Verify at the official NPI Registry.