Colin N Jack is a Valparaiso, Indiana based male Optometrist with 42 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 1982. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Colin N Jack is 18002034 for Optometry in Indiana. Colin N Jack 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Colin N Jack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
42+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
1982
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2101 Burlington Beach Rd., Suite D, Valparaiso, Indiana, 46383-0000
Phone:
219-462-0309
Fax:
219-464-4291
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8426190877
Enrollment ID:
I20100122000322
NPI Number:
1700853637
NPI Enumeration Date:
28 Feb, 2006
NPI Last Update On:
04 Feb, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Colin N Jack are as mentioned below.
License Number
Specialization
State
Status
18002034
Optometry
Indiana
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Colin N Jack has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Northwest Indiana Eye Associates Pc (1355319583)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with Colin N Jack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100208430B
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2101 Burlington Beach Rd., Valparaiso, Indiana
Zip:
46383-0000
Phone Number:
219-462-0309
Fax Number:
219-464-4291
Patients can reach Colin N Jack at 2101 Burlington Beach Rd., Suite D, Valparaiso, Indiana or can call to book an appointment on 219-462-0309. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.