Active NPI
Jacqueline Rosenberg, OD
- Optometrist
- Stuart, FL
National Provider Identifier
1457818320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5895
- Practice address
- 3173 S Kanner Hwy
Stuart, FL 34994-4822 - Phone
- (772) 324-4832
- Fax
- (772) 324-4833
- NPI assigned
- Feb 26, 2019
- Last updated
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5895 | FL | Primary |
Addresses
Primary practice location
3173 S Kanner Hwy
Stuart, FL 34994-4822
Mailing address
3594 Old Lighthouse Cir
Wellington, FL 33414-8841
Phone (561) 213-2774
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaron J. Evans O.D. P.a. | Optometrist | Current | Accepting new patients |
| Fraser Optical Clinic, Inc. | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Past | Accepting new patients |
Locations
1200 S Rogers Cir
Ste 16
Boca Raton, FL 33487
333 Plaza Real
Boca Raton, FL 33432
Phone (561) 392-8383
5030 Champion Blvd
Ste C2A
Boca Raton, FL 33496
Phone (561) 912-0800
Organizations & group practices 3
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.
-
- Optometrist
- Boca Raton, FL
- NPI 1689904575
-
- Optometrist
- Boca Raton, FL
- NPI 1649127853
-
- Optometrist
- Fraser, MI
- NPI 1447326244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1457818320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3594 OLD LIGHTHOUSE CIR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148841",
"telephone_number": "561-213-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3173 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349944822",
"telephone_number": "772-324-4832",
"fax_number": "772-324-4833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "JACQUELINE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.