Active NPI
Ross & Birge Inc
- Optometrist
- Tompkinsville, KY
National Provider Identifier
1386776169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ROSS & BIRGE INC
- Practice address
- 22 Executive Dr
Tompkinsville, KY 42167-7478 - Phone
- (270) 487-5741
- Fax
- (270) 487-9664
- NPI assigned
- Mar 9, 2007
- Last updated
- Jan 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen K Birge, O.D.
- Title
- Vice-President
- Phone
- (270) 487-5741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
22 Executive Dr
Tompkinsville, KY 42167-7478
Mailing address
22 Executive Dr
Tompkinsville, KY 42167-7478
Phone (270) 487-5741
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386776169 | Other | KY | MEDICARE GROUP NPI |
| 1720086267 | Other | KY | NPI NUMBERS |
| 77000933 | Medicaid | KY | |
| 5940 | Other | KY | DAVIS VISION |
| 1205834587 | Other | KY | NPI NUMBERS |
| 1801894340 | Other | KY | NPI NUMBERS |
| 77011013 | Medicaid | KY | |
| 410049286 | Other | KY | RAILROAD MEDICARE |
| 77007557 | Medicaid | KY | |
| 1386776169 | Other | KY | MEDICAID GROUP NPI |
| 03322 | Other | KY | SPECTERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
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 |
|---|---|---|
| Ross & Birge Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
22 Executive Dr
Tompkinsville, KY 42167
Phone (270) 487-5741
Practitioners & affiliated clinicians
Practitioners 3
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
- Tompkinsville, KY
- NPI 1801894340
-
- Optometrist
- Tompkinsville, KY
- NPI 1720086267
-
- Optometrist
- Tompkinsville, KY
- NPI 1205834587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262822400000",
"number": "1386776169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 EXECUTIVE DR",
"city": "TOMPKINSVILLE",
"state": "KY",
"postal_code": "421677478",
"telephone_number": "270-487-5741",
"fax_number": "270-487-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 EXECUTIVE DR",
"city": "TOMPKINSVILLE",
"state": "KY",
"postal_code": "421677478",
"telephone_number": "270-487-5741",
"fax_number": "270-487-9664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSS & BIRGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2010-01-07",
"status": "A",
"authorized_official_last_name": "BIRGE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "270-487-5741",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NPI",
"identifier": "1386776169",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBERS",
"identifier": "1720086267",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77000933",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "5940",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBERS",
"identifier": "1205834587",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBERS",
"identifier": "1801894340",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77011013",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410049286",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77007557",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP NPI",
"identifier": "1386776169",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "03322",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tompkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.