JAY ROSENFELD (OD) – Optometrist, NPI 1114924040

JAY ROSENFELD (OD) is a healthcare provider. based in Clearwater, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OP1691 (FL). The NPI Number for JAY ROSENFELD (OD) is 1114924040

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
JAY ROSENFELD (OD)
NPI
1114924040
Phone
(727) 799-4500
Address
2541 COUNTRYSIDE BLVD
Enumeration Date
7 July 2005
Last Update Date
3 July 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7277994500
Graduation Year
1981 (45 years ago)
PAC ID
4981893302
Group Practice PAC ID
0042362527
Professional Enrollment ID
I20110119000764
Address ID
FL337613504CL2541XBLVD301
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

2,055 OPTOMETRY in FL

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Provider Addresses for JAY ROSENFELD (OD)

  • TJ Maxx, 2541, Countryside Boulevard, Clearwater, Pinellas County, Florida, 33761, United States

    SUITE 1

    CLEARWATER, FL 337613504

    Phone: (727) 799-4500

    Fax: (727) 724-1633

    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)

CMS reports 10 Open Payments records for all available years, with a total value of $558.

Total Amount is formed as General ($558) + Research ($0) + Ownership ($0) = $558.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($224).

Total Amount

$558

General + Research + Ownership

Payments

10

Total payment records

General Amount

$558

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-01-19

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
I20110119000764IOptometryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina10097$0
92014Established patient complete exam of visual system8787$0
92004New patient complete exam of visual system2222$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 33761)

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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: 0042362527View full group profile
NameSpecialtyState
O P T O M E T R YFL
-FL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YMO
O P T O M E T R YFL
O P T O M E T R YMO
-FL

Reviews

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Frequently asked questions

What identifier follows JAY ROSENFELD (OD) across health systems?
The NPI 1114924040 uniquely identifies JAY ROSENFELD (OD) in U.S. healthcare data.
Is JAY ROSENFELD (OD) currently accepting referrals based on NPI status?
Registry metadata lists JAY ROSENFELD (OD) as active.
What type of care does JAY ROSENFELD (OD) provide?
JAY ROSENFELD (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to JAY ROSENFELD (OD)?
JAY ROSENFELD (OD) shows a connection to Clearwater, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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