C. Jack Roffis, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

1277 Issued in CO

Practice address

1933 28TH St
Ste. 206
Boulder, CO 80301-1100

Phone

(303) 447-8470

Fax

(303) 443-9555

NPI assigned

Jun 6, 2006

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• C. Jack Roffis OD, PC

  • Optometrist
  • Boulder, CO
  • NPI 1801023296
  NPD Authorized official
• Steinberg Optometry, P.C.

  • Optometrist
  • Boulder, CO
  • NPI 1114175684
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1881633352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 SIMMONS DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033007",
            "telephone_number": "303-499-5823",
            "fax_number": "303-499-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 28TH ST",
            "address_2": "STE. 206",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011100",
            "telephone_number": "303-447-8470",
            "fax_number": "303-443-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFFIS",
        "first_name": "C. JACK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Kaitlin Rodriguez, MSOM, LAC, LMT
• Yessenia Rodriguez, MA
• Anna T Roe, PA-C
• Travis Roelfs
• Nathan Roesner, D.O.
• Dominik Karol Rog, M.D.
• Gregg T Rogers, DDS
• Jason Rogers Jr.
• Kelley G Rogers, NP
• Michael Rogers, PT

• Corneal and Contact Management Optometrist in Boulder, CO
• Providers in Boulder, CO by specialty
• Corneal and Contact Management Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.

Verify at the official NPI Registry.