JACK ROY OD
NPI 1770150419
Optometrist in Royal Oak, MI

Q: What is Jack Roy's NPI number?

The NPI number for Jack Roy is 1770150419. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Q: What is Jack Roy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Roy was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 10, 2021PECOS Enrolled

30955 WOODWARD AVE STE 215, ROYAL OAK, MI 48073(248) 873-0069 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2023, Jun 29, 2021, Jun 10, 2021 (3 updates tracked since 2021).

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About Jack Roy Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK ROY OD (NPI 1770150419) is an individual optometrist in Royal Oak, Michigan, licensed in Michigan (4901005547) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770150419

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJACK ROYCredential: OD

Location Address30955 WOODWARD AVE STE 215Royal Oak, MI 48073-0801

Mailing Address30955 Woodward Ave Ste 215Royal Oak, MI 48073-0801 · (248) 873-0069

Phone(248) 873-0069

Sole ProprietorNo

Enumeration DateJune 10, 2021

Last NPPES UpdateNovember 16, 20233 updates tracked since enumeration

NPPES CertifiedNovember 16, 2023

✔ NPI 1770150419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MI · 4901005547

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

30955 WOODWARD AVE STE 215, Royal Oak, MI 48073

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Jack Roy Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISIONWORKS INC

Eyewear Supplier

30955 WOODWARD AVE STE 215
ROYAL OAK, MI 48073

Oakland County (248) 873-0069

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 Jack Roy's NPI number?

The NPI number for Jack Roy is 1770150419. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Jack Roy located?

Jack Roy practices at 30955 Woodward Ave Ste 215, Royal Oak, MI 48073. The listed phone number is (248) 873-0069.

What is Jack Roy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jack Roy enrolled in Medicare?

Yes. Jack Roy is registered in the Medicare PECOS enrollment system.

What insurance does Jack Roy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Jack Roy 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 Jack Roy was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.