NPIMap

Organization Active NPI

Jay Rosenfeld OD PA

  • Optometrist
  • Clearwater, FL
National Provider Identifier
1164730297
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1691 Issued in FL
Legal business name
JAY ROSENFELD OD PA
Practice address
2541 Countryside Blvd Ste 1
Clearwater, FL 33761-3504
Phone
(727) 799-4500
Fax
(727) 724-1633
NPI assigned
Sep 23, 2010
Last updated
Sep 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Dr. Jay Rosenfeld, ODNPI 1114924040
Title
President
Phone
(727) 799-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1691 FL Primary

Addresses

Primary practice location

2541 Countryside Blvd Ste 1
Clearwater, FL 33761-3504

Mailing address

2541 Countryside Blvd Ste 1
Clearwater, FL 33761-3504
Phone (727) 799-4500

Other identifiers 2

IdentifierTypeStateIssuer
086557500MedicaidFL
1114924040OtherFLINDIVIDUAL NPI FOR JAY ROSENFELD OD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1164730297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 COUNTRYSIDE BLVD STE 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 STE 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613504",
            "telephone_number": "727-799-4500",
            "fax_number": "727-724-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY ROSENFELD OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-799-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086557500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR JAY ROSENFELD OD",
            "identifier": "1114924040",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.