Jeffry Alan Ross, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2541 Issued in OK

Practice address

10557 E Highway 51
Broken Arrow, OK 74014-2308

Phone

(918) 279-8830

Fax

(866) 871-7350

NPI assigned

Jul 20, 2007

Sex

Male

Sole proprietor

Yes

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 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

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Family Eye Care IncGroup PAC ID 5395832489, 2 clinicians

MBR Eye LLCGroup PAC ID 6608201660, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Family Eye Care Inc

  • Optometrist
  • Coweta, OK
  • NPI 1770773277
  Medicare reassignment Care Compare group NPD Authorized official
• MBR Eye LLC

  dba AFEC Wagoner

  • Optometrist
  • Wagoner, OK
  • NPI 1881232593
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1588864284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9543 N 35TH ST E",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744678127",
            "telephone_number": "918-260-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10557 E HIGHWAY 51",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142308",
            "telephone_number": "918-279-8830",
            "fax_number": "866-871-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JEFFRY",
        "middle_name": "ALAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rooted Remedies LLC
• Kyler Roper, PHARMD
• Jennie Louise Rose, SLP
• Amanda Paige Rosentreter
• Janice S. Ross, M.S. LPC
• Jessica A Ross
• Monica J Ross, DPT
• Vicki K Ross, D.PH.
• Jill Roye
• Chassity Rubert, PTA

• Optometrist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.