Active NPI
Jeffrey S Gardner, O.D.
- Optometrist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5115
- Practice address
- 81 E Gay St
Columbus, OH 43215-3103 - Phone
- (614) 224-2414
- NPI assigned
- Jan 25, 2007
- Last updated
- Dec 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5115 | OH | Primary |
Addresses
Primary practice location
81 E Gay St
Columbus, OH 43215-3103
Mailing address
PO Box 207170
Dallas, TX 75320-7170
Phone (636) 200-4393
Other practice location 1
4864 W Broad St
Columbus, OH 43228-1602
Phone (614) 878-7771
Other practice location 2
3600 Olentangy River Rd Ste B
Columbus, OH 43214-3437
Phone (614) 451-7244
Other practice location 3
5081 N Hamilton Rd
Columbus, OH 43230-8001
Phone (614) 473-9899
Other practice location 4
1832 Castleton Way
Delaware, OH 43015-1301
Phone (740) 363-2015
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 S Union Ave
Alliance, OH 44601-4349
Phone (330) 821-2020
81 E Gay St
Columbus, OH 43215-3103
Phone (614) 224-2414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
| 20-20 Eyecare PSC | Optometrist | Past | Accepting new patients |
Locations
15933 Clayton Rd
Ste 201
Ballwin, MO 63011
8118 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 891-9030
553 E Town St
Columbus, OH 43215
Phone (614) 221-5647
Interoperability endpoints
- jgardner@direct.eyecare-partners.com
Organizations & group practices 3
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.
-
dba Clarkson Eyecare
- Optometrist
- Coventry Township, OH
- NPI 1730769696
-
- Optometrist
- Louisville, KY
- NPI 1710924949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1407901556",
"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": "81 E GAY ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432153103",
"telephone_number": "614-224-2414"
}
],
"practiceLocations": [
{
"address_1": "4864 W Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432281602",
"country_code": "US",
"telephone_number": "614-878-7771",
"fax_number": "614-878-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Olentangy River Rd Ste B",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432143437",
"country_code": "US",
"telephone_number": "614-451-7244",
"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",
"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",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER",
"first_name": "JEFFREY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.