Individual provider Active NPI

Aimee R. Jeffers, O.D.

  • Optometrist
  • Springfield, OH
National Provider Identifier
1720013394
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5310 Issued in OH
Practice address
1018 Cheyenne Ave
Springfield, OH 45503-6109
Phone
(937) 399-0282
Fax
(937) 399-1854
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5310 OH Primary

Addresses

Primary practice location

1018 Cheyenne Ave
Springfield, OH 45503-6109

Mailing address

1910 Riverside Dr
Columbus, OH 43221-4129
Phone (614) 488-1754

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
I20160621000170 OH Practitioner - Optometry 5799076865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5310OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fries Eye Care, LLC Optometrist Current Accepting new patients
Fries Eye Care, LLC Optometrist CurrentSince Nov 5, 2019 Accepting new patients
Optometric Management Group LLC Optometrist PastSince Jun 4, 2016 Accepting new patients

Locations

1018 Cheyenne Ave
Springfield, OH 45503
Phone (937) 399-0282

1050 Washington Ave
Washington Court House, OH 43160
Phone (740) 335-1025

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1720013394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 RIVERSIDE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432214129",
            "telephone_number": "614-488-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 CHEYENNE AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455036109",
            "telephone_number": "937-399-0282",
            "fax_number": "937-399-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "AIMEE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.