Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Rouleau, OD

Individual provider Optometrist · NPI 1467200972

Jack Rouleau, OD is an Optometry in Bloomington, Indiana. Graduated from Indiana University - School of Optometry in 2024, 2 years ago. Practices with Indiana University, a 65-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Trained at
Indiana University - School of Optometry
Licensed in
AZ
In the registry since
2024
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

744 E 3rd St
Bloomington, IN 47405-3603
Phone: (812) 855-8436
Fax: (812) 855-1683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-002807 (AZ)

Record details

NPI number1467200972
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 9, 2024
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address744 E 3rd St, Bloomington, IN 47405-3603

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Indiana University — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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