IndividualActive
Jacquelyn Short, O.D.
NPI 1588072003 · Optometrist · Archbold, OH
Provider details
- NPI number
- 1588072003
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 7000 (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
1001 S Defiance St
Archbold, OH 43502-1617
Phone: (419) 445-5436
Fax: (419) 446-4818
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 38
Archbold, OH 43502-0038
Additional practice locations (1)
- 800 N Clinton St Ste DDefiance, OH 43512-4611Phone: (419) 782-1901Fax: (419) 782-2200
Registry dates
- Enumerated
- 2014-07-28
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.