Colin N Jack is a Optometrist in Valparaiso, Indiana. Colin N Jack practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Colin N Jack is 1700853637. The last update date is 2015-02-04.
Colin N Jack's current location address is 2101 Burlington Beach Rd., Valparaiso, Indiana. You can contact this provider via phone number 2194620309 and fax number 2194644291. The mailing address for Colin N Jack is 2101 Burlington Beach Rd., Valparaiso, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colin N Jack |
|---|---|
| Address | 2101 Burlington Beach Rd., Valparaiso, Indiana |
| Phone Number | 2194620309 |
| Fax Number | 2194644291 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1700853637 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2015-02-04 |
Provider Mailing Address Detail
| Address | 2101 Burlington Beach Rd. |
|---|---|
| City | Valparaiso |
| State | Indiana (IN) |
| Post Code | 463830000 |
| Phone Number | 2194620309 |
| Fax Number | 2194644291 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18002034 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100208430B | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Colin N Jack by the Centers for Medicare & Medicaid Services?
The Colin N Jack has been assigned the NPI (National Provider Identifier) 1700853637 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Colin N Jack is geographically located?
The Colin N Jack is physically situated at the following location: 2101 Burlington Beach Rd., Valparaiso, IN, 463830000.
What is the area of specialization for Colin N Jack, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Colin N Jack is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700853637 to Colin N Jack?
The Centers for Medicare & Medicaid Services assigned the 1700853637 to Colin N Jack on 2006-02-28.
As of what date were the details related to Colin N Jack most recently updated or revised?
The information pertaining to Colin N Jack, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-04.
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