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Active NPI 1073666889 Individual Practitioner Male Practitioner

Dr. Jerry L Neely , OD

Optometrist • Fairborn, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Neely, OD is a registered healthcare professional specializing in Optometrist in Fairborn, OH. Practice services are available at 1790 COMMERCE CENTER BLVD under active NPI credentials.

Frequently performed procedures and clinical services include 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

1790 Commerce Center Blvd

Fairborn, OH 453246358

Telephone 9378783941
Fax 9378783525
Associated Practice Facility / Clinic
🏢 Vision Center Ltd Facility NPI 1417034133

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fairborn, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Fairborn, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
110 109 $105.00 $99.46

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 2797

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0311200 (OH)
Commercial Insurance / Payer ID Medicare Legacy Number
NE0403232 (OH)
Commercial Insurance / Payer ID Caresource
310824134031 (OH)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1104978196

Doctor of Optometry

NPI 1124982368

Doctor of Optometry

NPI 1477605293

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2011

Registered at 1790 COMMERCE CENTER BLVD, FAIRBORN, OH 453246358 (Tel: 9378783941)

📍
Updated Business Mailing Address August 02, 2011

Registered at 1790 COMMERCE CENTER BLVD, FAIRBORN, OH 453246358 (Tel: 9378783941)

👤
Provider Name / Credentials Updated August 02, 2011

Recorded as JERRY NEELY, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2011

Optometrist (License #2797 in OH)

🟢
Initial NPI Registration & Enumeration January 18, 2007

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: 1073666889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: August 02, 2011
Sole Proprietor: No

Mailing Address

1790 Commerce Center Blvd

Fairborn, OH 453246358

Phone: 9378783941

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.