Organization Active NPI

Brandon K Ross OD PC

  • Optometrist
  • Lawton, OK
National Provider Identifier
1629324256
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Brandon K Ross, ODNPI 1003194861
Title
President
Phone
(580) 353-5090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

311 SW 9TH St
Lawton, OK 73501-4315

Mailing address

311 SW 9TH St
Lawton, OK 73501-4315
Phone (580) 353-5090

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • 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.