Active NPI
Richard M Ross OD
- Optometrist
- Winter Park, FL
National Provider Identifier
1649908583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard M Ross, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Winter Park, FL
- NPI 1437141512
-
- Optometrist
- Winter Park, FL
- NPI 1629649421
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.