Jeffrey Alan Oberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5136 Issued in OH

Practice address

37500 Harvest Ave
Avon, OH 44011-2804

Phone

(440) 934-2710

Fax

(440) 934-2714

NPI assigned

Sep 5, 2006

Last updated

Oct 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Avon Vision Centre LLC

  • Eyewear Supplier
  • Avon, OH
  • NPI 1295059939
  Medicare reassignment NPD Authorized official
• SVS Vision Inc

  dba SVS Vision 94

  • Optometrist
  • Mt Pleasant, MI
  • NPI 1558246942
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1083716492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37500 HARVEST AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112804",
            "telephone_number": "440-934-2710",
            "fax_number": "440-934-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37500 HARVEST AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112804",
            "telephone_number": "440-934-2710",
            "fax_number": "440-934-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERG",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Novotny, M.D.
• Elayna A Nowak, DPT
• Alexia Ijeoma Nwankwo
• O'Brien Optics LLC
• Erin Marie O'Toole
• Adwoa Obosu-Baxter, LISW
• Benjamin Daniel Odell I, RN
• Ohio CVS Stores LLC (CVS Pharmacy #02588)
• Ohio CVS Stores LLC (CVS Pharmacy #16666)
• Ohio Dental Professionals, Delisle, P.C. (Avon Dental Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.