Robert Ross, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

04031T Issued in CA

Practice address

10502 Katella Ave
Anaheim, CA 92804-6528

Phone

(714) 776-2020

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• O.C. Optometric Group Inc.

  dba Orange County Optometric Group

  • Optometrist
  • Anaheim, CA
  • NPI 1508919200
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356472310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046528",
            "telephone_number": "714-776-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046528",
            "telephone_number": "714-776-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "04031T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilberto Roman Rosiles Jr.
• Glen Anthony Ross, D.C.
• Jonathan Ross
• Joshua Evan Ryan Ross
• Kaylin Mary Ross
• Shelisa Ross
• Joseph Rossini, D.O.
• Rotating Gamma Institute Orange
• Patrick D. Roth, MD
• Richard M. Roth, MD

• Optometrist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.