Organization Active NPI

SSK Optometry, LTD.

  • Optometrist
  • Dublin, OH
National Provider Identifier
1508983768
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4877 T1742 Issued in OH
Legal business name
SSK OPTOMETRY, LTD.
Practice address
5123 Tuttle Crossing Blvd
Samantha Kinross O.D.
Dublin, OH 43016-1535
Phone
(614) 734-1570
Fax
(614) 734-1566
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Samantha Marie Kinross, O.D.NPI 1467578435
Title
President
Phone
(614) 893-4820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4877 T1742 OH Primary

Addresses

Primary practice location

5123 Tuttle Crossing Blvd
Samantha Kinross O.D.
Dublin, OH 43016-1535

Mailing address

2656 Amberwick PL
Samantha Kinross O.D.
Hilliard, OH 43026-8894
Phone (614) 893-4820

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1508983768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 AMBERWICK PL",
            "address_2": "SAMANTHA KINROSS O.D.",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430268894",
            "telephone_number": "614-893-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 TUTTLE CROSSING BLVD",
            "address_2": "SAMANTHA KINROSS O.D.",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430161535",
            "telephone_number": "614-734-1570",
            "fax_number": "614-734-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSK OPTOMETRY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "KINROSS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-893-4820",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4877 T1742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.