Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588072003 Individual Practitioner Female Practitioner

Dr. Jacquelyn Gayle Short , OD

Optometrist • Archbold, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacquelyn Short, OD is a certified Optometrist practicing in Archbold, OH. With approximately 12 years of clinical experience since graduating from Southern College Of Optometry in 2014, Dr. Short delivers high-quality medical care to the local community at 1001 S DEFIANCE ST.

Dr. Short is affiliated with Defiance Optometric Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient complete exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1001 S Defiance St

Archbold, OH 435021617

Telephone 4194455436
Fax 4194464818
Associated Practice Facility / Clinic
🏢 Kings Vision Center Facility NPI 1457203614

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Archbold, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -10.3 yrs vs City Avg
City Avg: 22.3 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Archbold, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
23.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Short (12 Years) 12 Yrs
Archbold Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
66984 Removal of cataract with insertion of lens
2,099 16 $2.69 $1.12
92014 Established patient complete exam of visual system
129 129 $125.32 $116.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
88 65 $133.72 $121.09
92134 Imaging of retina
74 59 $90.80 $37.38
92133 Imaging of optic nerve
63 54 $90.81 $33.32
92083 Exam of visual field with extended testing
27 22 $98.56 $58.09
99213 Established patient office or other outpatient visit, typically 15 minutes
27 21 $85.78 $84.69
92004 New patient complete exam of visual system
25 25 $142.60 $138.85

Medical Specialties & State Licenses

CMS Verified: 2026-03-12
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 7000

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License OH 7000

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Optometrist - Pediatrics

NUCC Taxonomy Code: 152WP0200X

State License OH 7000

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Hospital & Practice Group Affiliations

Defiance Optometric Group Inc

800 N Clinton St, Defiance, OH 435124611

Phone: 4197821901

Secondary Practice Locations

800 N Clinton St Ste D

Defiance, OH 435124611

Phone: 4197821901

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1215955570

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

21 Historical Events
📍
Updated Practice Location March 12, 2026

Registered at 1001 S DEFIANCE ST, ARCHBOLD, OH 435021617 (Tel: 4194455436)

📍
Updated Business Mailing Address March 12, 2026

Registered at PO BOX 38, ARCHBOLD, OH 435020038 (Tel: 4194455436)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2026

Optometrist (License #7000 in OH)

📍
Updated Business Mailing Address October 01, 2021

Registered at 800 N CLINTON ST, STE D, DEFIANCE, OH 435124611 (Tel: 4197821901)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2021

Optometrist (License #3172 in TN)

📍
Updated Practice Location January 25, 2021

Registered at 7600 KINGSTON PIKE STE 1480, KNOXVILLE, TN 379195632 (Tel: 8656947527)

📍
Updated Business Mailing Address January 25, 2021

Registered at 2107 ELM GROVE LN, KNOXVILLE, TN 379321975 (Tel: 6574842448)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2021

Optometrist (License #3172 in TN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Optometrist (License #3172 in TN)

NPI Profile Active January 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2018

Registered at 207 MAIN ST, WILLIAMSBURG, KY 407691121 (Tel: 6065490464)

📍
Updated Business Mailing Address January 25, 2018

Registered at 467 SUNSET TRL, JELLICO, TN 377622709 (Tel: 4237842020)

👤
Provider Name / Credentials Updated January 25, 2018

Recorded as JACQUELYN SHORT, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2018

Optometrist (License #3172 in TN)

📍
Updated Business Mailing Address January 26, 2017

Registered at 467 SUNSET TRL, JELLICO, TN 377622709 (Tel: 4237537760)

NPI Profile Active July 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2014

Registered at 395 FOREST CIR UNIT 120, JONESBOROUGH, TN 376591439 (Tel: 4237537760)

📍
Updated Business Mailing Address July 28, 2014

Registered at 395 FOREST CIR UNIT 120, JONESBOROUGH, TN 376591439 (Tel: 4237537760)

👤
Provider Name / Credentials Updated July 28, 2014

Recorded as JACQUELYN SHORT, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2014

Optometrist (License #3172 in TN)

🟢
Initial NPI Registration & Enumeration July 28, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588072003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2014
Last Update: March 12, 2026
Sole Proprietor: No

Mailing Address

Po Box 38

Archbold, OH 435020038

Phone: 4194455436

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.