Mark D Ross, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1244DT Issued in KY

Practice address

330 Franklin Rd
Scottsville, KY 42164-8805

Phone

(270) 237-3871

Fax

(270) 237-5057

NPI assigned

Sep 25, 2006

Last updated

Jul 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Southern College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ross Eye Care LLC

  dba Ross and Ross Eye Care

  • Optometrist
  • Scottsville, KY
  • NPI 1437014818
  Medicare reassignment NPD Authorized official
• McPeak Vision Partners PLLC

  • Ophthalmology Physician
  • Glasgow, KY
  • NPI 1801871389

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215129600000",
    "number": "1174623292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421640266",
            "telephone_number": "270-237-3871",
            "fax_number": "270-237-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FRANKLIN RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421648805",
            "telephone_number": "270-237-3871",
            "fax_number": "270-237-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1244DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012441",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000053704",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Grace Reckart, APRN
• Carrie Joyce Reed, DPT
• Jeffrey S Rice, LCSW
• Ross Eye Care LLC (Ross and Ross Eye Care)
• Cayden Ross, OD
• Angela M Samson, LPCA
• Jerry Moore Scott
• Scottsville Dental Center, PSC
• Scottsville Primary Care Clinic
• Michael David Shacklette, LPCC

• Optometrist in Scottsville, KY
• Providers in Scottsville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2008; 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.

Verify at the official NPI Registry.