Individual provider Active NPI

Jake Rockman, OD

  • Optometrist
  • Naples, FL
National Provider Identifier
1780099317
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4923 Issued in FL
Practice address
877 111TH Ave N Ste 2
Naples, FL 34108-1853
Phone
(239) 591-2949
Fax
(239) 254-1921
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4923 FL Primary

Addresses

Primary practice location

877 111TH Ave N Ste 2
Naples, FL 34108-1853

Mailing address

4101 Evans Ave
Fort Myers, FL 33901-9310
Phone (239) 335-1944

Other identifiers 3

IdentifierTypeStateIssuer
190MBOtherFLBCBS
4021796OtherFLAETNA
013605300MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718001977 FL Practitioner - Optometry 3173749629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Focus Optometry Group LLC Optometrist CurrentSince Feb 22, 2023 Accepting new patients
Jonathan M Frantz, MD PA CurrentSince Apr 1, 2022 Accepting new patients

Locations

12731 New Brittany Blvd
Fort Myers, FL 33907
Phone (941) 418-0999

1201 Piper Blvd
Ste 22
Naples, FL 34110
Phone (239) 297-2883

7075 Radio Rd
Naples, FL 34104
Phone (239) 455-4500

6650 Collier Blvd
Naples, FL 34114
Phone (239) 417-2067

9617 Gulf Research Ln
South Fort Myers, FL 33912
Phone (239) 418-0262

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jakerockman@ecof.emadirect.md

Organizations & group practices 2

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1780099317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019310",
            "telephone_number": "239-335-1944",
            "fax_number": "239-939-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 111TH AVE N STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081853",
            "telephone_number": "239-591-2949",
            "fax_number": "239-254-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKMAN",
        "first_name": "JAKE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "190MB",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4021796",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013605300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.