Individual provider Active NPI

Jeffrey S Gardner, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1407901556
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5115 Issued in OH
Practice address
81 E Gay St
Columbus, OH 43215-3103
Phone
(614) 224-2414
NPI assigned
Jan 25, 2007
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110321000120 OH Practitioner - Optometry 4688857212 Reassigns benefits to 1 organization

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
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

81 E Gay St
Columbus, OH 43215-3103
Phone (614) 224-2414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist Current Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Mar 4, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.