Individual provider Active NPI

Jessica Erin Lybarger, O.D.

  • Corneal and Contact Management Optometrist
  • Columbus, OH
National Provider Identifier
1285019679
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT.6387 Issued in OH
Practice address
553 E Town St
Columbus, OH 43215-4927
Phone
(614) 461-1885
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPT.6387 OH Primary

Addresses

Primary practice location

553 E Town St
Columbus, OH 43215-4927

Mailing address

553 E. Town St
Suite 1
Columbus, OH 43215-4925
Phone (614) 461-1885

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
I20150818006070 OH Practitioner - Optometry 0446565519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polaris Eye CareGroup PAC ID 5991060881, 2 clinicians

Practice addresses (Care Compare)

1070 Polaris Pkwy
Suite 200
Columbus, OH 43240-4039
Phone (614) 880-1493

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.6387OHMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Eye Care CurrentSince Apr 3, 2018 Accepting new patients

Locations

1070 Polaris Pkwy
Ste 110
Columbus, OH 43240
Phone (614) 880-1493

1070 Polaris Pkwy
Ste 200
Columbus, OH 43240
Phone (614) 880-1493

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1285019679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 E. TOWN ST",
            "address_2": "SUITE 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154925",
            "telephone_number": "614-461-1885",
            "fax_number": "614-461-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154927",
            "telephone_number": "614-461-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBARGER",
        "first_name": "JESSICA",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "OPT.6387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.