1326032822

Everything you always wanted to know about ROSEN S JAY O.D. but were afraid to ask.

ROSEN S JAY O.D.

You can also download the this 1326032822 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
ROSEN S JAY O.D.
Gender:
Male
Enumeration date:
2005-09-12
Last update date:
2011-03-24
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
U29262 Medicare UPIN none FL
250273900 Medicaid none FL
20590Y Medicare ID-Type Undpecified none FL

Taxonomies

Taxonomy State License Number Primary?
152W00000X Optometrist FL OP0002790 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2399368686
Practice Location Address Telephone Number 2399368686
Mailing Address Fax Number 2399362532
Practice Location Address Fax Number 2399362532

Addresses

Type Address City State Postal Country
Mailing Address 4790 BARKLEY CIR BLDG C-103 FORT MYERS FL 33907 FL
Practice Location Address 4790 BARKLEY CIR BLDG C-103 FORT MYERS FL 33907 FL

Other NPI Records that share a phone number

NPI Name Address State City
1033568084 BALASQUIDE, GIOVANA
Individual
4790 BARKLEY CIR STE C103 FL FORT MYERS
1114911708 SNEAD, JOHN
Individual
4790 BARKLEY CIR BLDG C-103 FL FORT MYERS
1124334768 EYE PHYSICIANS AND SURGEONS OF
Organization
5335 AIRPORT PULLING RD N FL NAPLES
1194952572 BRAGAW PATTEN, NANCY
Individual
4790 BARKLEY CIR BLDG C-103 FL FORT MYERS
1275648495 EYE PHYSICIANS AND SURGEONS OF
Organization
4790 BARKLEY CIR BLDG C-103 FL FORT MYERS
1437385077 SNEAD, BRADFORD
Individual
4790 BARKLEY CIR FL FORT MYERS
1659507374 BRANTLEY, TERESA
Individual
1571 PERIWINKLE WAY FL SANIBEL
1750379277 DAVIS, RICHARD
Individual
9201 CYPRESS LAKE DR FL FORT MYERS
1760797757 EYE PHYSICIANS AND SURGEONS OF
Organization
9201 CYPRESS LAKE DR FL FORT MYERS
1851847826 EYE PHYSICIANS AND SURGEONS OF
Organization
15205 COLLIER BLVD # 101102 FL NAPLES
1942516588 EYE PHYSICIANS AND SURGEONS OF
Organization
1571 PERIWINKLE WAY FL SANIBEL
1982861175 EYE PHYSICIANS AND SURGEONS OF
Organization
4790 BARKLEY CIR BLDG C-103 FL FORT MYERS
1841226552 NAPLES EYE SURGERY CENTER LLC
Organization
1890 SW HEALTH PKWY FL NAPLES

Other NPI Records that share an address

NPI Name Address State City
1114911708 SNEAD, JOHN
Individual
4790 BARKLEY CIR BLDG C-103 FL FORT MYERS
1124334768 EYE PHYSICIANS AND SURGEONS OF
Organization
5335 AIRPORT PULLING RD N FL NAPLES
1194952572 BRAGAW PATTEN, NANCY
Individual
4790 BARKLEY CIR BLDG C-103 FL FORT MYERS
1275648495 EYE PHYSICIANS AND SURGEONS OF
Organization
4790 BARKLEY CIR BLDG C-103 FL FORT MYERS
1659507374 BRANTLEY, TERESA
Individual
1571 PERIWINKLE WAY FL SANIBEL
1750379277 DAVIS, RICHARD
Individual
9201 CYPRESS LAKE DR FL FORT MYERS
1760797757 EYE PHYSICIANS AND SURGEONS OF
Organization
9201 CYPRESS LAKE DR FL FORT MYERS
1942516588 EYE PHYSICIANS AND SURGEONS OF
Organization
1571 PERIWINKLE WAY FL SANIBEL
1982861175 EYE PHYSICIANS AND SURGEONS OF
Organization
4790 BARKLEY CIR BLDG C-103 FL FORT MYERS

Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1235122169 PRICKETT, SCOTT
Individual
5335 AIRPORT PULLING RD N FL NAPLES Identifier: 250273900 (Medicaid)
1275648495 EYE PHYSICIANS AND SURGEONS OF
Organization
4790 BARKLEY CIR BLDG C-103 FL FORT MYERS Identifier: 250273900 (Medicaid)