Jacqueline Marie Erdahl, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

34016439 Issued in OH

Practice address

1020 Woodman Dr Ste 105
Dayton, OH 45432-1410

Phone

(937) 723-7772

Fax

(937) 226-9605

NPI assigned

Mar 29, 2019

Last updated

Nov 4, 2025By the provider in NPPES

Sex

Female

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, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bloom Family Eye Surgeons LTDGroup PAC ID 9335108554, 8 clinicians

Sight Eye Clinic, PCGroup PAC ID 7618919994, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holland Hospital Hospital, Holland, MI, CCN 230072
• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score

3 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

10

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jacqueline.erdahl.p1@direct.bfes.nextgenshare.com
• Direct secure messaging: jacqueline.erdahl.p1@direct.sighteyeclinic.nextgenshare.com
• Direct secure messaging: jerdahl@daytoneye.intellechartdirect.net

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

• Bloom Family Eye Surgeons LTD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Dayton, OH
  • NPI 1649342890
  Medicare reassignment Care Compare group NPD
• Sight Eye Clinic, PC

  • Specialist
  • Zeeland, MI
  • NPI 1902839681

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Dayton Eyecare, Inc

  • Ophthalmology Physician
  • Dayton, OH
  • NPI 1659329415
  NPD
• Retina Specialists of Michigan PC

  • Retina Specialist (Ophthalmology) Physician
  • Grand Rapids, MI
  • NPI 1801048699
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation
• Holland Community Hospital

  dba Holland Hospital

  • General Acute Care Hospital
  • Holland, MI
  • NPI 1871672618
  Care Compare affiliation

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1073074266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WOODMAN DR STE 105",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321410",
            "telephone_number": "937-723-7772",
            "fax_number": "937-226-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WOODMAN DR STE 105",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321410",
            "telephone_number": "937-723-7772",
            "fax_number": "937-226-9605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8216 N Main St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454151641",
            "country_code": "US",
            "telephone_number": "937-898-2300",
            "fax_number": "937-898-2348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Van Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Zeeland",
            "state": "MI",
            "postal_code": "494646904",
            "country_code": "US",
            "telephone_number": "616-772-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERDAHL",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "34016439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myron Epps, LCDC III
• Equitas Health, Inc
• Equitas Health,Inc
• John R Erbaugh, D.D.S.
• Pamela Erd
• David Ralph Erhard, O.D.
• Brigitte Nicole Eric, PT
• Andriena Erickson, OD
• Mary J Erickson, MD
• Baylee Ericson

• Ophthalmology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.