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DR. JACK HAULER O.D.
NPI 1831242742
Optometrist in Ardmore, PA

Active since January 22, 2007PECOS Enrolled
74 COULTER AVE, ARDMORE, PA 19003(610) 896-0610(610) 896-0324 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jack Hauler O.d. NPPES

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

DR. JACK HAULER O.D. (NPI 1831242742) is an individual optometrist in Ardmore, Pennsylvania, licensed in Pennsylvania (OE006256T) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1984).

NPPES Registry Identity

NPI1831242742
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACK HAULERCredential: O.D.
Location Address74 COULTER AVEArdmore, PA 19003-2308
Mailing Address74 Coulter AveArdmore, PA 19003-2308 · (610) 896-0610
Phone(610) 896-0610
Fax(610) 896-0324
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1984
Enumeration DateJanuary 22, 2007
Last NPPES UpdateDecember 28, 2011
✔ NPI 1831242742 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 PA · OE006256T
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.
74 COULTER AVE, Ardmore, PA 19003
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Other Identifiers 2

Medicare UPINT30520PA
Medicare ID-Type UnspecifiedHA454416PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Hauler O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244407625
PECOS Enrollment IDI20120126000130
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.

Medicare Billing Reassignment

Medicare enrollment records show Jack Hauler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alpha Eye Ardmore, LLC
Same address
Optometrist
74 COULTER AVE
Ardmore, PA 19003
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
NPI 1396626339 (610) 896-0610

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
57 services57 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19003 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 3

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

J & K OPTICAL, INC.
Durable Medical Equipment & Medical Supplies
74 COULTER AVE
ARDMORE, PA 19003
Delaware County (610) 896-0610
ALPHA EYE ARDMORE, LLC
Optometrist
74 COULTER AVE
ARDMORE, PA 19003
Delaware County (610) 896-0610
ALPHA OPTICAL ARDMORE, LLC
Optometrist
74 COULTER AVE
ARDMORE, PA 19003
Delaware County (610) 896-0610

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 Hauler's NPI number?

The NPI number for Jack Hauler is 1831242742. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Jack Hauler located?

Jack Hauler practices at 74 Coulter Ave, Ardmore, PA 19003. The listed phone number is (610) 896-0610.

What is Jack Hauler's specialty?

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

Is Jack Hauler enrolled in Medicare?

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

Which organization bills Medicare for Jack Hauler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Hauler reassigns Medicare benefits to Alpha Eye Ardmore, LLC (Ardmore, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Hauler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Hauler accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Jack Hauler 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 Hauler was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.