Brandon K Ross OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRANDON K ROSS OD PC

Practice address

311 SW 9TH St
Lawton, OK 73501-4315

Phone

(580) 353-5090

Fax

(580) 353-5105

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Brandon K Ross, OD

Title

President

Phone

(580) 353-5090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1629324256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SW 9TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014315",
            "telephone_number": "580-353-5090",
            "fax_number": "580-353-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SW 9TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014315",
            "telephone_number": "580-353-5090",
            "fax_number": "580-353-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON K ROSS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-353-5090",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas L Bradshaw, DO
• Douglas O Brady, PH.D.
• Sharon Smith Brady, PH.D.
• Chelsea Brag
• Amy M Braly, BS
• Patricia Brandon, PH.D.
• Tiffany Lynn Brantley
• Breastfeeding Guidance Center of Southwest Oklahoma
• Jacquelyn Breaux, CRNA
• Kimmy Renea Breckenridge, LPN

• All providers in Lawton, OK
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.