Active NPI
Michele Ross, OD
- Optometrist
- Brooklyn, NY
National Provider Identifier
1003478009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 008965
- Practice address
- 2504 Flatbush Ave
Brooklyn, NY 11234-5128 - Phone
- (718) 258-2020
- Fax
- (718) 253-4731
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 008965 | NY | Primary |
Addresses
Primary practice location
2504 Flatbush Ave
Brooklyn, NY 11234-5128
Mailing address
45 Oceana Dr E Apt 2D
Brooklyn, NY 11235-6677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1075 Easton Ave
Somerset, NJ 08873-1648
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Optometry PC | Optometrist | Current | Accepting new patients |
| Grand Vision Optometry P.C. | Optometrist | Current | Accepting new patients |
| Bay Ridge Vision Center LLC | Optometrist | Current | Accepting new patients |
| Avenue U Optometry P.C. | Optometrist | Current | Accepting new patients |
Locations
1075 Easton Ave
Ste 12B
Somerset, NJ 08873
1075 Easton Ave
Ste 1-2
Somerset, NJ 08873
Phone (732) 214-1600
187 Avenue U
Brooklyn, NY 11223
Phone (718) 373-2020
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Brooklyn, NY
- NPI 1891861746
-
- Optometrist
- Brooklyn, NY
- NPI 1083140206
-
- Optometrist
- Brooklyn, NY
- NPI 1629374186
-
- Optometrist
- Somerset, NJ
- NPI 1730532896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1003478009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 OCEANA DR E APT 2D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345128",
"telephone_number": "718-258-2020",
"fax_number": "718-253-4731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.