Organization Active NPI

Edward Ross, OD

  • Eyewear Supplier
  • Pitcairn, PA
National Provider Identifier
1013189042
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OEG1576 Issued in PA
Legal business name
EDWARD ROSS, OD
Practice address
500 Broadway St
Pitcairn, PA 15140-1449
Phone
(412) 373-9767
NPI assigned
Mar 31, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EDWARD ROSS,DAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Edward Ross, ODNPI 1851382683
Title
Owner
Phone
(412) 373-9767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OEG1576 PA Primary

Addresses

Primary practice location

500 Broadway St
Pitcairn, PA 15140-1449

Mailing address

500 Broadway St
Pitcairn, PA 15140-1449
Phone (412) 373-9767

Other identifiers 1

IdentifierTypeStateIssuer
427288MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930057469 PA DME Supplier - Physician - Optometrist 3971621053 Practice locations: Pitcairn, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Edward Ross OD500 Broadway, Pitcairn, PA 15140-1444(412) 521-6622 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Part of
Edward Ross OD

Locations

500 Broadway St
Pitcairn, PA 15140
Phone (412) 373-9767

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1013189042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROADWAY ST",
            "city": "PITCAIRN",
            "state": "PA",
            "postal_code": "151401449",
            "telephone_number": "412-373-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROADWAY ST",
            "city": "PITCAIRN",
            "state": "PA",
            "postal_code": "151401449",
            "telephone_number": "412-373-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD ROSS, OD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDWARD ROSS,D",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-373-9767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "OEG1576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427288",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pitcairn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.