Tri-State Ophthalmology Associates PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

TRI-STATE OPHTHALMOLOGY ASSOCIATES PSC

Practice address

2841 Lexington Ave
Ashland, KY 41101-3009

Phone

(606) 324-2451

Fax

(606) 324-7123

NPI assigned

Jul 5, 2006

Last updated

Dec 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John C Gross, MDNPI 1245209550

Title

President

Phone

(606) 324-2451

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY, OH2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 8

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.

• John C Gross, M.D.

  • Ophthalmology Physician
  • Ashland, KY
  • NPI 1245209550

  OH

  Medicare reassignment Care Compare group Authorized official
• Joshua C Gross, M.D.

  • Ophthalmology Physician
  • Ashland, KY
  • NPI 1144649914
  Medicare reassignment Care Compare group NPD
• Carter H Gussler, MD

  • Ophthalmology Physician
  • Ashland, KY
  • NPI 1215905393

  OH

  Medicare reassignment Care Compare group NPD
• Cody A Williams, DO

  • Ophthalmology Physician
  • Ashland, KY
  • NPI 1376003145

  OH

  Medicare reassignment Care Compare group NPD
• John Alfred Adams, O.D.

  • Optometrist
  • Winchester, KY
  • NPI 1497900070
  NPD (past)
• Jordan Conley, O.D.

  • Optometrist
  • Ashland, KY
  • NPI 1376929067
  NPD (past)
• Sara Everman, PA-C

  • Physician Assistant
  • Ashland, KY
  • NPI 1851669048
  NPD (past)
• Richard Bradley Morris, O.D.

  • Optometrist
  • Greenup, KY
  • NPI 1306861596
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1245261833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 LEXINGTON AVENUE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-324-2451",
            "fax_number": "606-324-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 LEXINGTON AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411013009",
            "telephone_number": "606-324-2451",
            "fax_number": "606-324-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE OPHTHALMOLOGY ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-324-2451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CA4418",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65931172",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2115848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-State Diabetes and Endocrinology PLLC
• Tri-State Digestive Disease Assoc PSC.
• Tri-State Family Medicine, PSC
• Tri-State Hem-Onc PSC
• Tri-State Mobility, LLC (Tri - State Mobility)
• Tri-State Oral & Facial Surgery
• Tri-State Pediatrics
• Tri-State Psychological Services, PLLC (Roslyn E. Feierstein, Ph.D.)
• Tri-State Pulmonary Assoc PSC
• Tri-State Radiology, PSC

• Ophthalmology Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.