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Deactivated NPI 1104943596 Deactivated / Inactive NPI Male Practitioner

Dr. Jack J Rosen , OD OPTOMETRIST

Optometrist • Pasadena, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Rosen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 23, 2007
NPI Deactivation Date April 19, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Rosen, OD OPTOMETRIST was a registered Optometrist practicing in Pasadena, CA. Throughout an active medical career spanning 15 years, Dr. Rosen provided care at the practice location at 2355 E FOOTHILL BLVD until profile deactivation on 2022-04-19.

Practice Location & Contact Primary Location

Practice Address

2355 E Foothill Blvd

Pasadena, CA 911073634

Telephone 6267963242
Fax 6267969418

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Pasadena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
92 Specialists

Practicing in Pasadena, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 3716

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 19, 2022

Record deactivated on April 19, 2022

NPI Profile Active September 03, 2008

NPI status registered as active in NPPES database

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Updated Practice Location September 03, 2008

Registered at 2355 E FOOTHILL BLVD, PASADENA, CA 911073634 (Tel: 6267963242)

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Updated Business Mailing Address September 03, 2008

Registered at 2355 E FOOTHILL BLVD, PASADENA, CA 911073634 (Tel: 6267963242)

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Provider Name / Credentials Updated September 03, 2008

Recorded as JACK ROSEN, O.D. OPTOMETRIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2008

Optometrist (License #3716 in CA)

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Initial NPI Registration & Enumeration March 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104943596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: September 03, 2008
Deactivation Date: April 19, 2022

Mailing Address

2355 E Foothill Blvd

Pasadena, CA 911073634

Phone: 6267963242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.