Ross Cusic, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3826T Issued in WA

Practice address

12011 124TH Ave NE
Kirkland, WA 98034-8204

Phone

(425) 823-2020

Fax

(425) 823-1748

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in WA

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Optical Images Inc

  • Optometrist
  • Kirkland, WA
  • NPI 1710291489
  Medicare reassignment Authorized official
• Wallowa Valley Eye Care, Inc.

  • Optometrist
  • Enterprise, OR
  • NPI 1194092940
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568490654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 124TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348204",
            "telephone_number": "425-823-2020",
            "fax_number": "425-823-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 124TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348204",
            "telephone_number": "425-823-2020",
            "fax_number": "425-823-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSIC",
        "first_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3826T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Cummings
• Keith Robert Cummings, DO
• Kaja Cuper, OD.OD.70138074
• Stephen R. Cuplin, MD
• Erin-Siobhain Ross Currin, M.D.
• Cynthia Keller MD
• Ieva Dabeka, DDS
• Alexus Dabner
• Patricia Dacey, OT
• Zalak Daftary, DDS

• Optometrist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Optometrist in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.