Organization Active NPI

Richard M Ross OD

  • Optometrist
  • Winter Park, FL
National Provider Identifier
1649908583
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RICHARD M ROSS OD
Practice address
1708 Lee Rd
Winter Park, FL 32789-2160
Phone
(407) 629-1174
NPI assigned
Aug 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Richard M Ross, O.D.NPI 1437141512
Title
Owner
Phone
(407) 629-1174

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 Primary

Addresses

Primary practice location

1708 Lee Rd
Winter Park, FL 32789-2160

Mailing address

1708 Lee Rd
Winter Park, FL 32789-2160
Phone (407) 629-1174

Other names 1

  • Performance Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

1708 Lee Rd
Winter Park, FL 32789
Phone (407) 629-1174

Practitioners & affiliated clinicians

Practitioners 2

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": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1649908583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 LEE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892160",
            "telephone_number": "407-629-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 LEE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892160",
            "telephone_number": "407-629-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M ROSS OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-629-1174",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Performance Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.