Jack Roy, OD - Medicare Optometrist in Royal Oak, MI

Jack Roy, OD is a medicare enrolled "Optometrist" provider in Royal Oak, Michigan. His current practice location is 30955 Woodward Ave Ste 215, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 873-0069.

Jack Roy is licensed to practice in Michigan (license number 4901005547) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770150419.

Contact Information

Jack Roy, OD
30955 Woodward Ave Ste 215,
Royal Oak, MI 48073-0801
(248) 873-0069
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJack Roy
GenderMale
SpecialityOptometrist
Location30955 Woodward Ave Ste 215, Royal Oak, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770150419
  • Provider Enumeration Date: 06/10/2021
  • Last Update Date: 11/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557763851
  • Enrollment ID: I20210709000104

Medical Identifiers

Medical identifiers for Jack Roy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770150419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901005547 (Michigan)Primary

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. Jack Roy allows following entities to bill medicare on his behalf.
Provider NameVisionworks Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1366822991
PECOS PAC ID: 4385639616
Enrollment ID: O20151002002485

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. Jack Roy 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 AddressPractice Location Address
Jack Roy, OD
30955 Woodward Ave Ste 215,
Royal Oak, MI 48073-0801

Ph: (248) 873-0069
Jack Roy, OD
30955 Woodward Ave Ste 215,
Royal Oak, MI 48073-0801

Ph: (248) 873-0069

Reviews and Comments


Optometrist in Royal Oak, MI

Chirag Gupta, M.D.
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Phone: 248-551-2020    Fax: 248-551-2267
Michael B Liberman, O.D.
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Cheaper Peepers Of New York Mdiv, Inc.
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Medicare: Not Enrolled in Medicare
Practice Location: 5150 Coolidge Hwy, Royal Oak, MI 48073
Phone: 248-435-4200    Fax: 248-288-2124
Dr. Marlene Shayota, O.D.
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Practice Location: 30262 Woodward Ave, Royal Oak, MI 48073
Phone: 248-658-0145    
Chorney Eyecare, Pllc
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Practice Location: 817 N Main St, Royal Oak, MI 48067
Phone: 248-548-6888    
West Point Optical Group
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Medicare: Not Enrolled in Medicare
Practice Location: 32987 Woodward Ave, Royal Oak, MI 48073
Phone: 248-549-9080    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.