Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639228331 Individual Practitioner Male Practitioner

Dr. Jack Grey Hall , OD

Optometrist • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Hall, OD is a registered healthcare professional specializing in Optometrist in Modesto, CA. Practice services are available at 3801 PELANDALE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3801 Pelandale Ave

Modesto, CA 953568300

Telephone 2095430220
Fax 2095430220
Associated Practice Facility / Clinic
🏢 Costco Wholesale Corporation Facility NPI 1477663086

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Modesto, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 6455T

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 systemic conditions affecting the eye. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1023431194

Doctor of Pharmacy (Pharm.D.)

NPI 1598054801

Doctor of Pharmacy (Pharm.D.)

NPI 1669774741

Doctor of Pharmacy (Pharm.D.)

NPI 1962145789

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3801 PELANDALE AVE, MODESTO, CA 953568300 (Tel: 2095430220)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3801 PELANDALE AVE, MODESTO, CA 953568300 (Tel: 2095430220)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK HALL, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #6455T in CA)

🟢
Initial NPI Registration & Enumeration January 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639228331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3801 Pelandale Ave

Modesto, CA 953568300

Phone: 2095430220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.