Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacquelyn Gayle Short, OD

Individual provider Optometrist · NPI 1588072003

Dr. Jacquelyn Gayle Short, OD is an Optometry in Archbold, Ohio. Graduated from Southern College of Optometry in 2014, 12 years ago. Practices with Defiance Optometric Group Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Trained at
Southern College of Optometry
Licensed in
OH
In the registry since
2014
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

1001 S Defiance St
Archbold, OH 43502-1617
Phone: (419) 445-5436
Fax: (419) 446-4818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 N Clinton St Ste D, Defiance, OH 43512-4611 — (419) 782-1901

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 7000 (OH)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 7000 (OH)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 7000 (OH)

Record details

NPI number1588072003
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 28, 2014
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2014 (12 years in practice)
Group practice Defiance Optometric Group Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Archbold