Jason Gerard Jedlicka, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003875 Issued in IN

Practice address

744 E 3Rd St
Bloomington, IN 47405-3603

Phone

(812) 855-8436

Fax

(812) 855-1683

NPI assigned

Aug 11, 2006

Last updated

Jan 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana UniversityGroup PAC ID 6002806957, 64 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@indianaunivschoolofoptombloomingtonin.compulinkdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indiana University

  dba Indianapolis Eye Care Center

  • Optometrist
  • Indianapolis, IN
  • NPI 1497799787
  Medicare reassignment Care Compare group NPD
• Cornea and Contact Lens Institute of Minnesota

  • Optometrist
  • Edina, MN
  • NPI 1265733471
  NPD (past) Authorized official
• Indiana University

  dba Atwater Eye Care Center

  • Optometrist
  • Bloomington, IN
  • NPI 1174566921
  NPD
• Indiana University

  dba Indiana University School of Dentistry

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1689790552
  NPD
• Opti-Min PA

  dba Dba: Whiting Clinic

  • Ophthalmology Physician
  • St Louis Park, MN
  • NPI 1780696146

  Optometrist

  NPD (past)
• Santaluz Limited, LLC

  dba Brevier Optical

  • Optometrist
  • Excelsior, MN
  • NPI 1902138407
  NPD (past)
• Southwest Ophthalmology Associates, P.a.

  • Ophthalmology Physician
  • Marshall, MN
  • NPI 1306899323
  NPD (past)
• Spectrum Eye Care LLC

  dba Brevier Optical

  • Optometrist
  • Excelsior, MN
  • NPI 1073039483
  NPD (past)
• The Total Vision Institute LLC

  • Ophthalmologic Surgery Clinic/Center
  • St Louis Park, MN
  • NPI 1043760119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1669484622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053603",
            "telephone_number": "812-855-8436",
            "fax_number": "812-855-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053603",
            "telephone_number": "812-855-8436",
            "fax_number": "812-855-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDLICKA",
        "first_name": "JASON",
        "middle_name": "GERARD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2631",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201259190",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "638817500",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@IndianaUnivSchoolOfOptomBloomingtonIN.CompulinkDirect.com",
            "affiliation": "N",
            "endpointDescription": "IUSO direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "744 E 3rd St",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474053603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meredith Elaine Jansen, OD
• Hevin Jarrett, RBT
• Heather Anne Jastremski, PT
• Kelly Andrew Jastremski, DDS
• Jean Paul Etienne, OD, PC
• Kimberly Dawn Jedlicka, O.D.
• Clayton Jenkins
• Jennifer Richards LLC
• Jennifer Spencer PHD HSPP PC
• Jennifer Steinmetz MSW LLC

• Optometrist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.