DR. C. JACK ROFFIS O.D.
NPI 1881633352
Optometrist - Corneal and Contact Management in Boulder, CO

Active since June 06, 2006PECOS Enrolled
1933 28TH ST, STE. 206, BOULDER, CO 80301(303) 447-8470(303) 443-9555 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. C. Jack Roffis O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. C. JACK ROFFIS O.D. (NPI 1881633352) is an individual corneal and contact management provider in Boulder, Colorado, licensed in Colorado (1277) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881633352
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. C. JACK ROFFISCredential: O.D.
Location Address1933 28TH ST, STE. 206Boulder, CO 80301-1100
Mailing Address6165 Simmons DrBoulder, CO 80303-3007 · (303) 499-5823 · Fax (303) 499-5823
Fax(303) 443-9555
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 8, 2007
NPI 1881633352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in CO · 1277
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
1933 28TH ST, Boulder, CO 80301

Other Identifiers 2

Medicare ID-Type Unspecified41663CO
Medicare UPINU31785CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. C. Jack Roffis O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
99 services98 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
51 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1933 28TH ST, SUITE 206
BOULDER, CO 80301
Dentist (General Practice)
1933 28TH ST, SUITE 204
BOULDER, CO 80301
Optometrist
1933 28TH ST, SUITE 206
BOULDER, CO 80301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C. Jack Roffis's NPI number?

The NPI number for C. Jack Roffis is 1881633352. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is C. Jack Roffis located?

C. Jack Roffis practices at 1933 28th St Ste. 206, Boulder, CO 80301. The listed phone number is (303) 447-8470.

What is C. Jack Roffis's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is C. Jack Roffis enrolled in Medicare?

Yes. C. Jack Roffis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for C. Jack Roffis was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.