DR. JACK RUBIN O.D.
NPI 1982817193
Optometrist - Corneal and Contact Management in Jacksonville, FL

Q: What is Jack Rubin's NPI number?

The NPI number for Jack Rubin is 1982817193. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Q: What is Jack Rubin's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Q: When was this NPI record last updated?

The NPPES record for Jack Rubin was last updated on April 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 07, 2007PECOS Enrolled

11406 SAN JOSE BLVD, STE 1, JACKSONVILLE, FL 32223(904) 260-3839(904) 260-7879 Get Directions Write a Review

NPPES record last updated: April 11, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Jack Rubin O.d. NPPES

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

DR. JACK RUBIN O.D. (NPI 1982817193) is an individual corneal and contact management provider in Jacksonville, Florida, licensed in Florida (OPC1114) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1973).

NPPES Registry Identity

NPI1982817193

Entity TypeIndividualMale

Primary Taxonomy152WC0802X

Provider Legal NameDR. JACK RUBINCredential: O.D.

Location Address11406 SAN JOSE BLVD, STE 1Jacksonville, FL 32223-7963

Mailing Address11406 San Jose Blvd, Ste 1Jacksonville, FL 32223-7963 · (904) 260-3839 · Fax (904) 260-7879

Phone(904) 260-3839

Fax(904) 260-7879

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 1973

Enumeration DateMay 7, 2007

Last NPPES UpdateApril 11, 2010

✔ NPI 1982817193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in FL · OPC1114

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

11406 SAN JOSE BLVD, Jacksonville, FL 32223

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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 Montana, Blue Cross and Blue Shield of Oklahoma 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 Rubin O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628251857

PECOS Enrollment IDI20110325000642

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 Reassignments

Medicare enrollment records show Jack Rubin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dr. Ted Brink And Associates PA

Same address

Optometrist

11406 SAN JOSE BLVD STE 1
Jacksonville, FL 32223

Reassigned Medicare billing, Florida enrollment
30 clinicians in this Medicare group

NPI 1427138650 (904) 260-3839

North Florida Eye Center PA

58 mi

Ophthalmology

6831 NW 11TH PL, SUITE 1
Gainesville, FL 32605

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1871587402 (352) 331-7337

Fleming Island Vision Center, Inc.

1,598 mi

Optometrist

1524 COUNTY ROAD 220 STE 5
Fleming Island, FL 32003

Reassigned Medicare billing, Florida enrollment
10 clinicians in this Medicare group

NPI 1245482710 (904) 637-2000

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 3

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.

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

62 services62 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

48 services48 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 5

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

MALLORY DAWSON ALMOND PHARMD

Pharmacist

11406 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 262-5991

MRS. CASSIE G. ICE R.PH.

Pharmacist

11406 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 262-5991

PUBLIX SUPER MARKETS INC

Pharmacy (Community/Retail Pharmacy)

11406 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 262-5991

DR. SUSAN M. FRICK O.D.

Optometrist

11406 SAN JOSE BLVD, SUITE #1
JACKSONVILLE, FL 32223

Duval County (904) 260-3839

DR. APRIL ROBISON STEFANELL PHARM.D.

Pharmacist

11406 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 262-5991

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 Rubin's NPI number?

The NPI number for Jack Rubin is 1982817193. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Jack Rubin located?

Jack Rubin practices at 11406 San Jose Blvd Ste 1, Jacksonville, FL 32223. The listed phone number is (904) 260-3839.

What is Jack Rubin's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Jack Rubin enrolled in Medicare?

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

Which organizations bill Medicare for Jack Rubin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Rubin reassigns Medicare benefits to 3 organizations: Dr. Ted Brink And Associates PA (Jacksonville, FL), North Florida Eye Center PA (Gainesville, FL) and Fleming Island Vision Center, Inc. (Fleming Island, FL). Each 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 Rubin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Rubin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Jack Rubin 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 Rubin was last updated on April 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.