Rosenfeld, Jay
Rosenfeld, Jay is an sole proprietor health care provider with primary practice located at 2541 Countryside Blvd Suite 1, Clearwater FL 33761-3504. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rosenfeld, Jay can be contacted via phone (727) 799-4500.Contact Information
Primary practice address
2541 Countryside Blvd Suite 1
Clearwater FL 33761-3504
Phone: (727) 799-4500
Fax: (727) 724-1633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OP1691 | Florida |
Profile Details
| NPI number | 1114924040 |
|---|---|
| LBN Legal business name | Rosenfeld, Jay |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 3rd, 2010 - about 14 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 | 1114924040 | NPPES |
| Florida | MEDICAID | 086557500 | |
| Florida | Other | 592932410 | |
| Florida | Other | OP1691 | |
| Florida | Other | OC208 |
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