Dr Jacquelyn Gayle Short, OD in Archbold, OH - Medicare Optometry Provider

Dr Jacquelyn Gayle Short, OD is a medicare enrolled "Optometrist" provider in Archbold, Ohio. She went to Southern College Of Optometry and graduated in 2014 and has 12 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Defiance Optometric Group Inc and her current practice location is 1001 S Defiance St, Archbold, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 445-5436.

Dr Jacquelyn Gayle Short is licensed to practice in Ohio (license number 7000) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588072003.

Contact Information

	Dr Jacquelyn Gayle Short, OD
	1001 S Defiance St, Archbold, OH 43502-1617
	(419) 445-5436
	(419) 446-4818

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacquelyn Gayle Short
Gender	Female
Speciality	Optometry
Experience	12 Years
Location	1001 S Defiance St, Archbold, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacquelyn Gayle Short attended and graduated from Southern College Of Optometry in 2014

NPI Data:

NPI Number: 1588072003
Provider Enumeration Date: 07/28/2014
Last Update Date: 03/12/2026

Medicare PECOS Information:

PECOS PAC ID: 4880919430
Enrollment ID: I20211007002972

Medical Identifiers

Medical identifiers for Dr Jacquelyn Gayle Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588072003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	7000 (Ohio)	Primary
152WC0802X	Optometrist - Corneal And Contact Management	7000 (Ohio)	Secondary
152WP0200X	Optometrist - Pediatrics	7000 (Ohio)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Defiance Optometric Group Inc	4789618141	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jacquelyn Gayle Short allows following entities to bill medicare on her behalf.

Provider Name	Defiance Optometric Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255443792 PECOS PAC ID: 4789618141 Enrollment ID: O20050924000208

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacquelyn Gayle Short is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jacquelyn Gayle Short, OD Po Box 38, Archbold, OH 43502-0038 Ph: (419) 445-5436	Dr Jacquelyn Gayle Short, OD 1001 S Defiance St, Archbold, OH 43502-1617 Ph: (419) 445-5436

Reviews and Comments

Optometrist in Archbold, OH

John D Emch Od, Optometrist Medicare: Medicare Enrolled Practice Location: 700 Stryker St, Archbold, OH 43502 Phone: 419-445-0436 Fax: 419-445-2697
Mr. Christian A King, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 S Defiance St, 1001 South Defiance St, Archbold, OH 43502 Phone: 419-445-5436 Fax: 419-446-4818
Kings Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 S Defiance St, Archbold, OH 43502 Phone: 419-445-5436 Fax: 419-446-4818
John Douglas Emch Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 Stryker St, Archbold, OH 43502 Phone: 419-445-0436 Fax: 419-445-2697
Andrew John Emch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 700 Stryker St, Archbold, OH 43502 Phone: 419-445-0436
Archbold Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 700 Stryker St, Archbold, OH 43502 Phone: 419-445-0436

Dr Jacquelyn Gayle Short, OD - Medicare Optometrist in Archbold, OH