DR. JACK HAULER (O.D.) – Optometrist, NPI 1831242742

DR. JACK HAULER (O.D.) is a healthcare provider. based in Ardmore, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OE006256T (PA). The NPI Number for DR. JACK HAULER (O.D.) is 1831242742

Main info

Male
Sole Proprietor
42 Years Of Experience
Name
DR. JACK HAULER (O.D.)
NPI
1831242742
Phone
(610) 896-0610
Address
74 COULTER AVE
Enumeration Date
22 January 2007
Last Update Date
28 December 2011

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
6108960610
Graduation Year
1984 (42 years ago)
PAC ID
0244407625
Group Practice PAC ID
4082102595
Professional Enrollment ID
I20120126000130
Address ID
PA190032308AR74XXXAVEX300
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

1,779 OPTOMETRY in PA

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

  • Pearle Vision, 74, Coulter Avenue, Suburban Square, Haverford, Ardmore, Lower Merion Township, Montgomery County, Pennsylvania, 19003, United States

    ARDMORE, PA 190032308

    Phone: (610) 896-0610

    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 $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: CooperVision Inc. ($69).

Total Amount

$101

General + Research + Ownership

Payments

6

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

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: 2012-01-26

PECOS data refreshed: 2026-06-15

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
I20120126000130IOptometryPATBD

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
92012Established patient problem focused exam of visual system5151$0
View full utilization report →

Insurance plans in this area (ZIP 19003)

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Reviews

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Frequently asked questions

What identifier follows DR. JACK HAULER (O.D.) across health systems?
The NPI 1831242742 uniquely identifies DR. JACK HAULER (O.D.) in U.S. healthcare data.
Should I treat DR. JACK HAULER (O.D.) as an active provider?
Patients and plans typically see DR. JACK HAULER (O.D.) as active in the national extract.
What services align with DR. JACK HAULER (O.D.)'s listing?
DR. JACK HAULER (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JACK HAULER (O.D.) in Ardmore, Pennsylvania?
For routing, start with Ardmore, Pennsylvania for DR. JACK HAULER (O.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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