DR. JAY E ROFSKY (OD) – Optometrist, NPI 1104816933

DR. JAY E ROFSKY (OD) is a healthcare provider. based in Orange, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT 10161 T (CA). The NPI Number for DR. JAY E ROFSKY (OD) is 1104816933

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAY E ROFSKY (OD)
NPI
1104816933
Phone
(714) 744-8801
Address
725 W. LA VETA AVE
Enumeration Date
24 October 2005
Last Update Date
29 July 2019

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7147712020
Graduation Year
1993 (33 years ago)
PAC ID
7315049046
Group Practice PAC ID
4284861014
Professional Enrollment ID
I20070226000724
Address ID
CA928651752OR3111XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for DR. JAY E ROFSKY (OD)

  • 725, West La Veta Avenue, Orange, Orange County, California, 92868, United States

    SUITE 260

    ORANGE, CA 928684439

    Phone: (714) 744-8801

    Fax: (714) 744-8630

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070226000724IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92868)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284861014View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

Is DR. JAY E ROFSKY (OD) listed with a National Provider Identifier?
Yes — DR. JAY E ROFSKY (OD) has NPI 1104816933 on file in the registry.
Is there an active status for DR. JAY E ROFSKY (OD)?
For scheduling context, DR. JAY E ROFSKY (OD) is shown as active in the registry.
What area of care is associated with DR. JAY E ROFSKY (OD)?
DR. JAY E ROFSKY (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JAY E ROFSKY (OD)?
Travel planning: use Orange, California as the reference point for DR. JAY E ROFSKY (OD), then confirm.
When was this NPI issued?
Enumeration for DR. JAY E ROFSKY (OD) is noted as October 24, 2005 where the registry provides it.

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