Individual provider Active NPI

Jordan Todd Bierman, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1184039646
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6266 Issued in OH
Practice address
81 E Gay St
Columbus, OH 43215-3103
Phone
(614) 224-2414
Fax
(614) 754-5152
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6266 OH Primary

Addresses

Primary practice location

81 E Gay St
Columbus, OH 43215-3103

Mailing address

3697 Corporate Dr
Columbus, OH 43231-4965
Phone (614) 699-6757

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
I20141023001884 OH Practitioner - Optometry 2163643743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry Midwest IncGroup PAC ID 0749504165, 78 clinicians

Practice addresses (Care Compare)

1650 S Union Ave
Alliance, OH 44601-4349
Phone (330) 821-2020

5986 E Main St
Columbus, OH 43213-3378
Phone (614) 861-7771

6044 Parkmeadow LN
Hilliard, OH 43026-7406
Phone (614) 876-2686

8118 Montgomery Rd
Cincinnati, OH 45236-2935
Phone (513) 891-9030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6266OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist Current Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Feb 25, 2017 Accepting new patients

Locations

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

8118 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 891-9030

Interoperability endpoints

  • Direct secure messaging: jbierman@direct.eyecare-partners.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1184039646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3697 CORPORATE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314965",
            "telephone_number": "614-699-6757",
            "fax_number": "614-754-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 E GAY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153103",
            "telephone_number": "614-224-2414",
            "fax_number": "614-754-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERMAN",
        "first_name": "JORDAN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.