Active NPI
Dennis Ross
- Optician
- Dunmore, PA
National Provider Identifier
1508906017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 217 E Drinker St
Dunmore, PA 18512-2589 - Phone
- (570) 348-0464
- Fax
- (570) 343-7049
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
217 E Drinker St
Dunmore, PA 18512-2589
Mailing address
217 E Drinker St
Dunmore, PA 18512-2589
Phone (570) 348-0464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 393311 | Other | PA | NVA PROVIDER NUMBER |
| RO200383 | Other | PA | BLUE SHIELD PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ross-McDonnell Optical | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Dunmore, PA
- NPI 1922281658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508906017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 E DRINKER ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185122589",
"telephone_number": "570-348-0464",
"fax_number": "570-343-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E DRINKER ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185122589",
"telephone_number": "570-348-0464",
"fax_number": "570-343-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "DENNIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA PROVIDER NUMBER",
"identifier": "393311",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "RO200383",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunmore, PA
Sources for this page
- 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.