COLIN N JACK O.D.
NPI 1700853637
Optometrist in Valparaiso, IN
About Colin N Jack O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLIN N JACK O.D. (NPI 1700853637) is an individual optometrist in Valparaiso, Indiana, licensed in Indiana (18002034) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colin N Jack O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46383 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Colin Jack's NPI number?
The NPI number for Colin Jack is 1700853637. It was assigned to this individual provider in the NPPES registry on February 28, 2006.
Where is Colin Jack located?
Colin Jack practices at 2101 Burlington Beach Rd. Suite D, Valparaiso, IN 46383. The listed phone number is (219) 462-0309.
What is Colin Jack's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Colin Jack enrolled in Medicare?
Yes. Colin Jack is registered in the Medicare PECOS enrollment system.
What insurance does Colin Jack accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Colin Jack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Colin Jack was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Colin N Jack, O.D. · NPI 1700853637
Optometrist provider in Valparaiso, Indiana. Individual provider, active in the CMS NPPES registry since February 28, 2006.
## Identity
- **NPI:** 1700853637 (Entity type: Individual)
- **Enumerated:** February 28, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18002034 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2101 BURLINGTON BEACH RD., SUITE D, Valparaiso, IN 46383-0000
- **Phone:** (219) 462-0309 · **Fax:** (219) 464-4291
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** February 4, 2015
- **Other identifiers:** Medicaid 100208430B (IN); Medicare ID-Type Unspecified 656510B (IN); Medicare UPIN T86382 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1700853637) · Data from the CMS NPPES public registry.