Individual provider Active NPI

Jay Robert Trofholz, O.D.

  • Optometrist
  • Columbus, NE
National Provider Identifier
1881680486
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
866 Issued in NE
Practice address
3702 23Rd St
Columbus, NE 68601-3023
Phone
(402) 564-2020
Fax
(402) 563-2020
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 866 NE Primary

Addresses

Primary practice location

3702 23Rd St
Columbus, NE 68601-3023

Mailing address

3702 23Rd St
Columbus, NE 68601-3023
Phone (402) 564-2020

Other identifiers 1

IdentifierTypeStateIssuer
47061490913MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
866NEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Center of Columbus, P.C. Optometrist PastSince Jun 15, 1993 Accepting new patients
MK Optical Enterprises, Inc. Optometrist Past Accepting new patients

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881680486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 23RD ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013023",
            "telephone_number": "402-564-2020",
            "fax_number": "402-563-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 23RD ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013023",
            "telephone_number": "402-564-2020",
            "fax_number": "402-563-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROFHOLZ",
        "first_name": "JAY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47061490913",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.