Individual provider Active NPI

Sarah Litteken Ross, O.D

  • Optometrist
  • Ardmore, OK
National Provider Identifier
1417955352
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2402 Issued in OK
Practice address
1117 Walnut Dr
Ardmore, OK 73401-2354
Phone
(580) 223-4500
Fax
(580) 223-4540
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2402 OK Primary

Addresses

Primary practice location

1117 Walnut Dr
Ardmore, OK 73401-2354

Mailing address

1117 Walnut Dr
Ardmore, OK 73401-2354
Phone (580) 223-4500

Other identifiers 2

IdentifierTypeStateIssuer
5116630001OtherOKDMERC
200022010AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040505000226 OK Practitioner - Optometry 5799773248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1117 Walnut Dr
Ardmore, OK 73401-2354
Phone (580) 223-4500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2402OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Solutions Inc Optometrist CurrentSince Dec 18, 2003 Accepting new patients

Locations

1117 Walnut Dr
Ardmore, OK 73401
Phone (580) 223-4500

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1417955352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 WALNUT DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012354",
            "telephone_number": "580-223-4500",
            "fax_number": "580-223-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 WALNUT DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012354",
            "telephone_number": "580-223-4500",
            "fax_number": "580-223-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SARAH",
        "middle_name": "LITTEKEN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5116630001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200022010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.