Active NPI
Edward Ross, OD
- Eyewear Supplier
- Pitcairn, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- OEG1576
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- EDWARD ROSS,D
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Ross, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 427288 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057469 | PA | DME Supplier - Physician - Optometrist | 3971621053 | Practice locations: Pitcairn, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Edward Ross OD | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
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.
-
- Optometrist
- Pitcairn, PA
- NPI 1851382683
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.