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

Jason Gerard Jedlicka, OD

Individual provider Optometrist · NPI 1669484622

Jason Gerard Jedlicka, OD is an Optometry in Bloomington, Indiana. Graduated from Pennsylvania College of Optometry in 1996, 30 years ago. Practices with Indiana University, a 65-clinician group and accepts Medicare assignment. Licensed in Indiana and Minnesota.

Years since qualifying
30
Trained at
Pennsylvania College of Optometry
Licensed in
IN, MN
In the registry since
2006
Specialties on file
2
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 18003875 (IN)
Optometrist Taxonomy 152W00000X · Licence 2631 (MN)

Record details

NPI number1669484622
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 1996 (30 years in practice)
Group practice Indiana University — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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