Jay S Rosen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP0002790 Issued in FL

Practice address

4790 Barkley Cir BLDG C-103
Fort Myers, FL 33907-7543

Phone

(239) 936-8686

Fax

(239) 936-2532

NPI assigned

Sep 12, 2005

Last updated

Mar 24, 2011By 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 1

Addresses

Other identifiers 1

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

State University of New York - State College Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael J. Collins, Jr, MD, PAGroup PAC ID 1456320704, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael J. Collins, Jr, MD, PA

  dba Collins Vision

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1982649083
  Medicare reassignment Care Compare group NPD
• Lezama, P.a.

  dba Everglades Eye Care

  • Optometrist
  • Naples, FL
  • NPI 1609368885
  Medicare reassignment NPD
• Rapna Optical Inc.

  dba Focal Point Optical

  • Durable Medical Equipment & Medical Supplies
  • Bayside, NY
  • NPI 1467518837
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1326032822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIR BLDG C-103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077543",
            "telephone_number": "239-936-8686",
            "fax_number": "239-936-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIR BLDG C-103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077543",
            "telephone_number": "239-936-8686",
            "fax_number": "239-936-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JAY",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0002790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250273900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecily Rose, CRNA
• Daniel Roseau, LPN
• Dairis Rosello, BCBA
• Rodney Rosello, ARNP AGACNP-BC
• Amanda Kane Rosen, OTR/L
• Jeffrey H. Rosen, M.D.
• Michelle Rubin Rosenbaum, PH.D.
• Dana Marie Rosenberger, ARNP, AGPCNP-BC
• Angela Rosewicz, RBT
• Nicole Alexandra Rosito

• Optometrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.