Dr. Jacquelyn Gayle Short

O.D. | Optometrist | 12+ years Exp


Medicare Enrolled
 1001 S Defiance St, Archbold
    Ohio, 43502-1617

 419-445-5436    419-446-4818   Maps & Directions
Dr. Jacquelyn Gayle Short is a Archbold, Ohio based Optometrist with 12 years of experience in Optometry. She completed her graduation from Southern College Of Optometry in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jacquelyn Gayle Short is 7000 for Optometry in Ohio.
Dr. Jacquelyn Gayle Short 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. She 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. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Jacquelyn Gayle Short speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: O.D.
Experience: 12+ years
Medical School Attended:Southern College Of Optometry
Graduation Year:2014
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:1001 S Defiance St, Archbold,
Ohio, 43502-1617
Phone:419-445-5436
Fax:419-446-4818
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4880919430
Enrollment ID: I20211007002972
NPI Number: 1588072003
NPI Enumeration Date: 28 Jul, 2014
NPI Last Update On: 12 Mar, 2026
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jacquelyn Gayle Short are as mentioned below.
License NumberSpecializationStateStatus
7000Optometry OhioPrimary
7000Optometry - Corneal and Contact Management OhioSecondary
7000Optometry - Pediatrics OhioSecondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jacquelyn Gayle Short has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Defiance Optometric Group Inc (4789618141)3
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 38,
Archbold, Ohio
Zip: 43502-0038
Phone Number: 419-445-5436
Fax Number: 419-446-4818
Patients can reach Dr. Jacquelyn Gayle Short at 1001 S Defiance St, Archbold, Ohio or can call to book an appointment on 419-445-5436.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.