Jennifer Hastings Engle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5543/T2457 Issued in OH

Practice address

295 High St
Berea, OH 44017-1833

Phone

(440) 234-3800

Fax

(440) 234-2318

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shirley R. Daniel, O.D. and Terry E. Daniel, O.D., Inc.Group PAC ID 7719987452, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shirley R. Daniel, O.D. & Terry E. Daniel, O.D., Inc.

  • Optometrist
  • Berea, OH
  • NPI 1407938244
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1902845662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 HIGH ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171833",
            "telephone_number": "440-234-3800",
            "fax_number": "440-234-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 HIGH ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171833",
            "telephone_number": "440-234-3800",
            "fax_number": "440-234-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "JENNIFER",
        "middle_name": "HASTINGS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5543/T2457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Eberhart, RN
• Lora A Edwards, LPCC
• Ember Counseling LLC
• Enchanted Cottage Therapy LLC
• Debra Enderlein, R.N.
• Jon Glen Engle, OD
• Marta A Engle, LPCC
• Mercy Ermakov
• Vincent Evanoff, PA-C
• Jacklyn Ann Fairchild, P.C., N.C.C

• Optometrist in Berea, OH
• Providers in Berea, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.

Verify at the official NPI Registry.