Individual provider Active NPI

Jay E Rofsky, OD

  • Optometrist
  • Orange, CA
National Provider Identifier
1104816933
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 10161 T Issued in CA
Practice address
725 W. la Veta Ave
Suite 260
Orange, CA 92868-4439
Phone
(714) 744-8801
Fax
(714) 744-8630
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 10161 T CA Primary

Addresses

Primary practice location

725 W. la Veta Ave
Suite 260
Orange, CA 92868-4439

Mailing address

725 W. la Veta Ave
Suite 260
Orange, CA 92868-4439
Phone (714) 744-8801

Other identifiers 1

IdentifierTypeStateIssuer
SD0101610MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20070226000724 CA Practitioner - Optometry 7315049046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Eye Consultants Inc.Group PAC ID 4284861014, 6 clinicians

Practice addresses (Care Compare)

3111 N Tustin St
Suite 150
Orange, CA 92865-1752
Phone (714) 771-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 10161 TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Eye Consultants Inc. CurrentSince Jan 8, 2026 Accepting new patients
St. Jude Neighborhood Health Centers Past Accepting new patients
John Celis, O.D., a Professional Corporation Optometrist Past Accepting new patients
St. Joseph Hospital of Orange Past Accepting new patients

Locations

1310 W Stewart Dr
Ste 311
Orange, CA 92868
Phone (714) 633-0886

3111 N Tustin St
Ste 150
Orange, CA 92865
Phone (714) 771-1900

Interoperability endpoints

  • Direct secure messaging: jrofsky1416141@oc.providencedirect.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1104816933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W. LA VETA AVE",
            "address_2": "SUITE 260",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684439",
            "telephone_number": "714-744-8801",
            "fax_number": "714-744-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W. LA VETA AVE",
            "address_2": "SUITE 260",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684439",
            "telephone_number": "714-744-8801",
            "fax_number": "714-744-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFSKY",
        "first_name": "JAY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 10161 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0101610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.