JON GLEN ENGLE (OD) – Optometrist, NPI 1043389505

JON GLEN ENGLE (OD) is a healthcare provider. based in Berea, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5548 (OH). The NPI Number for JON GLEN ENGLE (OD) is 1043389505

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JON GLEN ENGLE (OD)
NPI
1043389505
Phone
(440) 234-3800
Address
295 HIGH ST
Enumeration Date
7 November 2006
Last Update Date
13 November 2017

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2169416100
Graduation Year
2005 (21 years ago)
PAC ID
5698879062
Group Practice PAC ID
5890765481
Professional Enrollment ID
I20070326000216
Address ID
OH441351175CL4110XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for JON GLEN ENGLE (OD)

  • SR & TE Daniel OD Inc., 295, High Street, Berea, Cuyahoga County, Ohio, 44017, United States

    BEREA, OH 440171833

    Phone: (440) 234-3800

    Fax: (440) 234-2318

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070326000216IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system454412$0
92250Photography of the retina407400$0
92273Measurement of retinal and optic nerve function387360$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes363323$0
92004New patient complete exam of visual system283283$0
View full utilization report →

Insurance plans in this area (ZIP 44017)

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Provider's Procedures

JON GLEN ENGLE (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOH92012Eye and medical examination for diagnosis and treatment, established patient103100

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890765481View full group profile
NameSpecialtyState
O P T O M E T R YOH
Nurse PractitionerGA
Qualified AudiologistOH
-OH
Qualified AudiologistOH
Internal MedicineOH
Nurse PractitionerKY
O P T O M E T R YKY
-OH
O P T O M E T R YOH

Reviews

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Frequently asked questions

Does JON GLEN ENGLE (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JON GLEN ENGLE (OD) uses 1043389505.
Is JON GLEN ENGLE (OD) listed as active for patients and plans?
The listing shows JON GLEN ENGLE (OD) as active in the NPI system.
What is JON GLEN ENGLE (OD) best known for clinically?
Directory data describes JON GLEN ENGLE (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is JON GLEN ENGLE (OD) based?
JON GLEN ENGLE (OD) is tied to Berea, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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