DR. JACK RUBIN (O.D.) – Corneal and Contact Management Optometrist, NPI 1982817193

DR. JACK RUBIN (O.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC1114 (FL). The NPI Number for DR. JACK RUBIN (O.D.) is 1982817193

Main info

Male
53 Years Of Experience
Name
DR. JACK RUBIN (O.D.)
NPI
1982817193
Phone
(904) 260-3839
Address
11406 SAN JOSE BLVD
Enumeration Date
7 May 2007
Last Update Date
11 April 2010

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9043638282
Graduation Year
1973 (53 years ago)
PAC ID
8628251857
Group Practice PAC ID
6800936360
Professional Enrollment ID
I20110325000642
Address ID
FL322560743JA10300BLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for DR. JACK RUBIN (O.D.)

  • Whole Foods Market, 10601, San Jose Boulevard, Plummers, Jacksonville, Duval County, Florida, 32257, United States

    STE 1

    JACKSONVILLE, FL 322237963

    Phone: (904) 260-3839

    Fax: (904) 260-7879

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $366.

Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($255).

Total Amount

$366

General + Research + Ownership

Payments

6

Total payment records

General Amount

$366

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110325000642IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina3636$0
92014Established patient complete exam of visual system3131$0
View full utilization report →

Insurance plans in this area (ZIP 32223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800936360View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What number should I use to identify DR. JACK RUBIN (O.D.) for billing?
Administrative and clinical systems typically use NPI 1982817193 for DR. JACK RUBIN (O.D.).
Quick check: is DR. JACK RUBIN (O.D.) active?
Public NPPES data shows DR. JACK RUBIN (O.D.) with an active NPI status right now.
Which specialty label fits DR. JACK RUBIN (O.D.)?
NPPES ties DR. JACK RUBIN (O.D.) to Corneal and Contact Management Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. JACK RUBIN (O.D.) tied to Jacksonville, Florida?
If you are local to Jacksonville, Florida, DR. JACK RUBIN (O.D.) may be relevant to your search.
Can I export DR. JACK RUBIN (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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