IndividualActiveAccepts Medicare
Jack Rouleau, OD
NPI 1467200972 · Optometrist · Bloomington, IN
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1467200972
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OPT-002807 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
744 E 3rd St
Bloomington, IN 47405-3603
Phone: (812) 855-8436
Fax: (812) 855-1683
Street-level locationGet directions
Mailing address
744 E 3rd St
Bloomington, IN 47405-3603
Registry dates
- Enumerated
- 2024-05-09
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.