Colin N Jack, OD in Valparaiso, IN - Medicare Optometry Provider

Colin N Jack, OD is a medicare enrolled "Optometrist" provider in Valparaiso, Indiana. He went to Southern College Of Optometry and graduated in 1982 and has 42 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Northwest Indiana Eye Associates Pc and his current practice location is 2101 Burlington Beach Rd., Suite D, Valparaiso, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 462-0309.

Colin N Jack is licensed to practice in Indiana (license number 18002034) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700853637.

Contact Information

	Colin N Jack, OD
	2101 Burlington Beach Rd., Suite D, Valparaiso, IN 46383-0000
	(219) 462-0309
	(219) 464-4291

Map and Direction

Healthcare Provider's Profile

Full Name	Colin N Jack
Gender	Male
Speciality	Optometry
Experience	42 Years
Location	2101 Burlington Beach Rd., Valparaiso, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Colin N Jack attended and graduated from Southern College Of Optometry in 1982

NPI Data:

NPI Number: 1700853637
Provider Enumeration Date: 02/28/2006
Last Update Date: 02/04/2015

Medicare PECOS Information:

PECOS PAC ID: 8426190877
Enrollment ID: I20100122000322

Medical Identifiers

Medical identifiers for Colin N Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700853637	NPI	-	NPPES
100208430B	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18002034 (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwest Indiana Eye Associates Pc	1355319583	9

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Colin N Jack allows following entities to bill medicare on his behalf.

Provider Name	Northwest Indiana Eye Associates Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336115237 PECOS PAC ID: 1355319583 Enrollment ID: O20040924000081

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colin N Jack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Colin N Jack, OD 2101 Burlington Beach Rd., Valparaiso, IN 46383-0000 Ph: (219) 462-0309	Colin N Jack, OD 2101 Burlington Beach Rd., Suite D, Valparaiso, IN 46383-0000 Ph: (219) 462-0309

Reviews and Comments

Optometrist in Valparaiso, IN

Dr. Richard Scott Carlson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 Marquette St, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356
Stephen R Buck, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 Marquette St, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356
Stanley N. Blackman, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383 Phone: 219-462-5501 Fax: 219-462-3238
Nikole T Schilling, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2101 Burlington Beach Rd., Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291
Dr. Phillip George Koultourides, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2400 Morthland Dr, Valparaiso, IN 46383 Phone: 219-465-2788 Fax: 219-465-2785
D/b/a Lewyckyj-taglia- Felton Eye Clinics Optometrist Medicare: Medicare Enrolled Practice Location: 2101 Burlington Beach Rd, Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291
Northwest Indiana Eye & Laser Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 502 Marquette St, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356

Colin N Jack, OD - Medicare Optometrist in Valparaiso, IN