Jacob Terry, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007054 Issued in OH

Practice address

3600 Olentangy River Rd Ste B
Columbus, OH 43214-3437

Phone

(614) 451-7244

Fax

(614) 545-0749

NPI assigned

Jun 30, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacobterry@direct.eyecare-partners.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.

• Clarkson Optometry Midwest Inc

  • Optometrist
  • Centerville, OH
  • NPI 1073917597
  NPD

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1083346605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207170",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OLENTANGY RIVER RD STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143437",
            "telephone_number": "614-451-7244",
            "fax_number": "614-545-0749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 N Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432302601",
            "country_code": "US",
            "telephone_number": "614-471-7177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "636 W Schrock Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430818996",
            "country_code": "US",
            "telephone_number": "614-890-3577",
            "fax_number": "614-890-5915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 High St Ste A",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430854190",
            "country_code": "US",
            "telephone_number": "614-885-7997",
            "fax_number": "614-885-8595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4708 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281613",
            "country_code": "US",
            "telephone_number": "614-878-7771",
            "fax_number": "614-878-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6044 Parkmeadow Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430267406",
            "country_code": "US",
            "telephone_number": "614-876-2686",
            "fax_number": "614-876-2687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1832 Castleton Way",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430151301",
            "country_code": "US",
            "telephone_number": "740-363-2015",
            "fax_number": "740-369-2408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Morey Dr",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430401647",
            "country_code": "US",
            "telephone_number": "937-642-2002",
            "fax_number": "937-642-3620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6732 Perimeter Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430173202",
            "country_code": "US",
            "telephone_number": "614-798-9940",
            "fax_number": "614-798-9913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5081 N Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432308001",
            "country_code": "US",
            "telephone_number": "614-473-9899",
            "fax_number": "614-473-9906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JACOB",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Terry, CNP
• Demetrius Crandell Terry
• Demi L Terry
• Grace Elizabeth Terry
• Heather Lyn Terry, FNP
• Kahiliyah Terry
• Kamilah Kimay Terry
• Karen Michelle Terry, PHD
• Katelyn Terry, LPCC
• Latonia D Terry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.