Jason Gerard Jedlicka is a Bloomington, Indiana based male Optometrist with 28 years of experience in Optometry. He completed his graduation from Pennsylvania College Of Optometry in 1996. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jason Gerard Jedlicka is 18003875 for Optometry in Indiana. Jason Gerard Jedlicka 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:
Jason Gerard Jedlicka 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:
28+ years
Medical School Attended:
Pennsylvania College Of Optometry
Graduation Year:
1996
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
744 E 3rd St, Bloomington, Indiana, 47405-3603
Phone:
812-855-8436
Fax:
812-855-1683
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:
2062462211
Enrollment ID:
I20141016001874
NPI Number:
1669484622
NPI Enumeration Date:
11 Aug, 2006
NPI Last Update On:
21 Oct, 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 Jason Gerard Jedlicka are as mentioned below.
License Number
Specialization
State
Status
18003875
Optometry
Indiana
Primary
2631
Optometry
Minnesota
Secondary
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 Jason Gerard Jedlicka has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Indiana University (6002806957)
59
Other Medical Identifiers:
Other legacy medical identifiers associated with Jason Gerard Jedlicka such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
638817500
Medicaid
Minnesota
201259190
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:
830 Dakota Pt, Jordan, Minnesota
Zip:
55352-1441
Phone Number:
952-492-3135
Fax Number:
952-475-3680
Patients can reach Jason Gerard Jedlicka at 744 E 3rd St, Bloomington, Indiana or can call to book an appointment on 812-855-8436. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.