Dr Jack M Elizares, OD is a medicare enrolled "Optometrist" provider in Clearlake, California. He went to University Of California - School Of Optometry and graduated in 1979 and has 45 years of diverse experience with area of expertise as Optometry. His current practice location is
3610 Old Highway 53, Clearlake, California. You can reach out to his office (for appointments etc.) via phone at
(707) 994-8641.
Dr Jack M Elizares is licensed to practice in California (license number 6646) 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 1295715712.
Healthcare Provider's Profile
| Full Name | Dr Jack M Elizares |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 45 Years |
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| Location | 3610 Old Highway 53, Clearlake, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jack M Elizares attended and graduated from University Of California - School Of Optometry in 1979
NPI Data:
- NPI Number: 1295715712
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 03/09/2009
Medicare PECOS Information:
- PECOS PAC ID: 9537283023
- Enrollment ID: I20100907000424
Medical Identifiers
Medical identifiers for Dr Jack M Elizares such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295715712 | NPI | - | NPPES |
| SD0066460 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 6646 (California) | Primary |
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. Dr Jack M Elizares 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 |
|---|
Dr Jack M Elizares, OD
3610 Old Highway 53,
Clearlake, CA 95422-9253
Ph: (707) 994-8641 | Dr Jack M Elizares, OD
3610 Old Highway 53,
Clearlake, CA 95422-9253
Ph: (707) 994-8641 |
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