Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLIN N JACK, O.D.
ActiveCOLIN N JACK, O.D. is a Optometrist healthcare provider located in VALPARAISO, Indiana. NPI 1700853637 is currently active in the NPPES registry. Verify at CMS.
Optometrist · VALPARAISO, IN
Registration Details
- NPI Number
- 1700853637
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2006 (20.413316599223 yrs)
- Last Updated
- Feb 4, 2015
- License
-
18002034 (IN)
Practice Information
- Address
-
2101 BURLINGTON BEACH RD.SUITE DVALPARAISO, IN, 463830000Browse IN providers · Browse ZIP 46383
- Phone
- 2194620309
- Fax
- 2194644291
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in VALPARAISO, IN
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD SCOTT CARLSON | OD | 1073515938 |
| DR. STANLEY NEIL BLACKMAN | O.D. | 1518931310 |
| DR. HEATHER LYNN JOZWIAK | O.D. | 1902872195 |
| NIKOLE T SCHILLING | O.D. | 1154398097 |
| RICHARD W IRELAND | O.D. | 1790752525 |
| SARAH A TSAGRIS | O.D. | 1659348407 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.