Rosen, Jay S
Rosen, Jay S is an individual health care provider with primary practice located at 4790 Barkley Cir Bldg C-103 , Fort Myers FL 33907-7543. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rosen, Jay S can be contacted via phone (239) 936-8686.Contact Information
Primary practice address
4790 Barkley Cir Bldg C-103
Fort Myers FL 33907-7543
Phone: (239) 936-8686
Fax: (239) 936-2532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OP0002790 | Florida |
Profile Details
| NPI number | 1326032822 |
|---|---|
| LBN Legal business name | Rosen, Jay S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Mar 24th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326032822 | NPPES |
| Florida | MEDICAID | 250273900 |
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