JAY S ROSEN (O.D.) – Optometrist, NPI 1326032822

JAY S ROSEN (O.D.) is a healthcare provider. based in Fort myers, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OP0002790 (FL). The NPI Number for JAY S ROSEN (O.D.) is 1326032822

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JAY S ROSEN (O.D.)
NPI
1326032822
Phone
(239) 936-8686
Address
4790 BARKLEY CIR BLDG C-103
Enumeration Date
12 September 2005
Last Update Date
24 March 2011

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
2399364706
Graduation Year
1991 (35 years ago)
PAC ID
0143494351
Group Practice PAC ID
1456320704
Professional Enrollment ID
I20111129000030
Address ID
FL339127151FO6900XBLVD400
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

Provider Addresses for JAY S ROSEN (O.D.)

  • 4790 BARKLEY CIR BLDG C-103

    FORT MYERS, FL 339077543

    Phone: (239) 936-8686

    Fax: (239) 936-2532

    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 73 Open Payments records for all available years, with a total value of $4,154.

Total Amount is formed as General ($4,154) + Research ($0) + Ownership ($0) = $4,154.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($1,071).

Total Amount

$4,154

General + Research + Ownership

Payments

73

Total payment records

General Amount

$4,154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2011-11-29

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
I20111129000030IOptometryFLTBD

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 retina888842$0
92014Established patient complete exam of visual system767726$0
99213Established patient office or other outpatient visit, 20-29 minutes370250$0
99214Established patient office or other outpatient visit, 30-39 minutes306241$0
92134Imaging of retina257249$0
View full utilization report →

Insurance plans in this area (ZIP 33907)

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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: 1456320704View full group profile
NameSpecialtyState
O P H T H A L M O L O G 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 YKY
O P H T H A L M O L O G YFL
Nurse PractitionerFL
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

Can I verify JAY S ROSEN (O.D.) with an NPI only?
You can start verification with NPI 1326032822 for JAY S ROSEN (O.D.), then check state licensing separately.
Is JAY S ROSEN (O.D.) listed as active for patients and plans?
The listing shows JAY S ROSEN (O.D.) as active in the NPI system.
What is JAY S ROSEN (O.D.) best known for clinically?
Directory data describes JAY S ROSEN (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does JAY S ROSEN (O.D.) list a practice location?
Patients near Fort Myers, Florida may find JAY S ROSEN (O.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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