Jay Rosenfeld, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP1691 Issued in FL

Practice address

2541 Countryside Blvd
Suite 1
Clearwater, FL 33761-3504

Phone

(727) 799-4500

Fax

(727) 724-1633

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

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

Illinois College of Optometry at Chicago, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sight and Sun Eyeworks LLCGroup PAC ID 0042362527, 27 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Sight and Sun Eyeworks LLC

  • Optometrist
  • Pensacola, FL
  • NPI 1932359106
  Medicare reassignment Care Compare group NPD
• Sight and Sun Eyeworks LLC

  • Optometrist
  • Lakeland, FL
  • NPI 1437817467
  NPD
• Sight and Sun Eyeworks LLC

  • Optometrist
  • Gulf Breeze, FL
  • NPI 1932386620
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278115200000",
    "number": "1114924040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 COUNTRYSIDE BLVD",
            "address_2": "SUITE 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613504",
            "telephone_number": "727-799-4500",
            "fax_number": "727-724-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 COUNTRYSIDE BLVD",
            "address_2": "SUITE 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613504",
            "telephone_number": "727-799-4500",
            "fax_number": "727-724-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "JAY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP1691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086557500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "592932410",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "OP1691",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACOLOGY NUMBER",
            "identifier": "OC208",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Joy Rose, CRNA
• Lisa Ann Rose, NP-C
• Sofia Rose, DO
• Adam Michael Rosen, MD
• Robert J Rosen, MD
• Sheri A Rosenthal, DPM
• Stanley Eugene Rosewater, M.D.
• Sarah Rosinski, O.D.
• Adam Seth Rosoff, DC
• Christopher L Ross, D.M.D., M.S.

• Optometrist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2010; 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.