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Deactivated NPI 1447254099 Deactivated / Inactive NPI Male Practitioner

Dr. Jack B Bridge , OD

Optometrist • Oxford, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Bridge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 10, 2005
NPI Deactivation Date July 23, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Bridge, OD was a registered Optometrist practicing in Oxford, OH. Throughout an active medical career spanning 21 years, Dr. Bridge provided care at the practice location at 5225 MORNING SUN RD until profile deactivation on 2026-07-23.

Historical Medicare Part B clinical services included established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5225 Morning Sun Rd
Suite B

Oxford, OH 450568929

Telephone 5135232020
Fax 5135231101
Associated Practice Facility / Clinic
🏢 Howard L Bernie Md, Inc Facility NPI 1891740924

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Oxford, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Oxford, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
7.4% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
15 15 $130.00 $120.39

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 3062T1243

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Donna Bostick , CNM

Advanced Practice Midwife

NPI 1144245622

Certified Nurse Midwife

Dr. Ec Wiesenmayer , MD

Obstetrics & Gynecology

NPI 1215980446

Doctor of Medicine (M.D.)

Lisa Vetter , CNP

Nurse Practitioner - Women's Health

NPI 1245283670

Certified Nurse Practitioner

Marla Evans , CNP

Nurse Practitioner - Women's Health

NPI 1245538420

Certified Nurse Practitioner

Dr. John Harlan , MD

Obstetrics & Gynecology

NPI 1427001866

Doctor of Medicine (M.D.)

Dr. Daniel Stein , MD

Obstetrics & Gynecology

NPI 1548212244

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 23, 2026

Record deactivated on July 23, 2026

NPI Profile Active April 16, 2012

NPI status registered as active in NPPES database

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Updated Practice Location April 16, 2012

Registered at 5225 MORNING SUN RD, SUITE B, OXFORD, OH 450568929 (Tel: 5135232020)

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Updated Business Mailing Address April 16, 2012

Registered at 5225 MORNING SUN RD, DOCTORS PARK MEDICAL BLDG, OXFORD, OH 450568929 (Tel: 5135232020)

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Provider Name / Credentials Updated April 16, 2012

Recorded as JACK BRIDGE, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2012

Optometrist (License #3062T1243 in OH)

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Initial NPI Registration & Enumeration June 10, 2005

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: 1447254099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2005
Last Update: April 16, 2012
Deactivation Date: July 23, 2026

Mailing Address

5225 Morning Sun Rd, Doctors Park Medical Bldg

Oxford, OH 450568929

Phone: 5135232020

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.