| Jay Rosenfeld, OD | |
|
2541 Countryside Blvd, Suite 1, Clearwater, FL 33761-3504 | |
| (727) 799-4500 | |
| (727) 724-1633 |
| Full Name | Jay Rosenfeld |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 43 Years |
| Location | 2541 Countryside Blvd, Clearwater, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114924040 | NPI | - | NPPES |
| 086557500 | Medicaid | FL | |
| 592932410 | Other | FL | TAX ID |
| OP1691 | Other | FL | STATE LICENSE NUMBER |
| OC208 | Other | FL | STATE PHARMACOLOGY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OP1691 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sight And Sun Eyeworks Llc | 0042362527 | 26 |
| Provider Name | Sight And Sun Eyeworks Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932359106 PECOS PAC ID: 0042362527 Enrollment ID: O20090714000490 |
| Provider Name | Jay Rosenfeld Od Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164730297 PECOS PAC ID: 3072702497 Enrollment ID: O20110114000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Rosenfeld, OD 2541 Countryside Blvd, Suite 1, Clearwater, FL 33761-3504 Ph: (727) 799-4500 | Jay Rosenfeld, OD 2541 Countryside Blvd, Suite 1, Clearwater, FL 33761-3504 Ph: (727) 799-4500 |
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