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Active NPI 1669484622 Individual Practitioner Male Practitioner

Dr. Jason Gerard Jedlicka , OD

Optometrist • Bloomington, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jason Jedlicka, OD is a certified Optometrist practicing in Bloomington, IN. With approximately 30 years of clinical experience since graduating from Pennsylvania College Of Optometry in 1996, Dr. Jedlicka delivers high-quality medical care to the local community at 744 E 3RD ST.

Dr. Jedlicka is affiliated with Indiana University and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

744 E 3rd St

Bloomington, IN 474053603

Telephone 8128558436
Fax 8128551683
Associated Practice Facility / Clinic
🏢 Indiana University Facility NPI 1174566921

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bloomington, IN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +13.2 yrs vs City Avg
City Avg: 16.8 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
106 Specialists

Practicing in Bloomington, IN (1644 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jedlicka (30 Years) 30 Yrs
Bloomington Specialty Average (16.8 Years) 16.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
26 20 $80.00 $78.98
92014 Established patient complete exam of visual system
15 15 $110.00 $108.93

Medical Specialties & State Licenses

CMS Verified: 2026-01-12
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 18003875

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MN 2631

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
638817500 (MN)
Medicaid State Provider ID
201259190 (IN)

Hospital & Practice Group Affiliations

Indiana University

744 E 3rd St, Bloomington, IN 474053603

Phone: 8128558436

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013841527

Doctor of Optometry

NPI 1083663488

Doctor of Optometry

NPI 1124097472

Doctor of Optometry

NPI 1124437496

Doctor of Optometry

NPI 1124478581

Doctor of Optometry

NPI 1134108665

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address January 12, 2026

Registered at 744 E 3RD ST, BLOOMINGTON, IN 474053603 (Tel: 8128558436)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2026

Optometrist (License #2631 in MN)

NPI Profile Active October 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2015

Registered at 744 E 3RD ST, BLOOMINGTON, IN 474053603 (Tel: 8128558436)

📍
Updated Business Mailing Address October 21, 2015

Registered at 830 DAKOTA PT, JORDAN, MN 553521441 (Tel: 9524923135)

👤
Provider Name / Credentials Updated October 21, 2015

Recorded as JASON JEDLICKA, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2015

Optometrist (License #18003875 in IN)

🟢
Initial NPI Registration & Enumeration August 11, 2006

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: 1669484622
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: January 12, 2026
Sole Proprietor: No

Mailing Address

744 E 3rd St

Bloomington, IN 474053603

Phone: 8128558436

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.