Individual provider Active NPI

Valerie Jo Gardner, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1659668077
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6017 Issued in OH
Practice address
730 Mt Airyshire Blvd
Columbus, OH 43235
Phone
(614) 880-2020
Fax
(614) 846-8577
NPI assigned
Jul 6, 2011
Last updated
Mar 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6017 OH Primary

Addresses

Primary practice location

730 Mt Airyshire Blvd
Columbus, OH 43235

Mailing address

730 Mt Airyshire Blvd
Columbus, OH 43235
Phone (614) 880-2020

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
I20111006000254 OH Practitioner - Optometry 4082886445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gardner Family Eyecare, LLCGroup PAC ID 2860826757, 3 clinicians

Practice addresses (Care Compare)

431 S Washington St
New Bremen, OH 45869-1254
Phone (419) 629-3241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6017OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Family Eyecare, LLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients
New Bremen Eyecare, LLC Optometrist PastSince Jul 1, 2002 Accepting new patients

Locations

431 S Washington St
New Bremen, OH 45869
Phone (419) 629-3241

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1659668077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MT AIRYSHIRE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-880-2020",
            "fax_number": "614-846-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MT AIRYSHIRE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-880-2020",
            "fax_number": "614-846-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "VALERIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.