Eileen Elizabeth Ross, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

206506 Issued in PA

Practice address

723A Old Willow Ave
Honesdale, PA 18431-4217

Phone

(570) 251-9657

Fax

(570) 251-9663

NPI assigned

May 12, 2023

Last updated

May 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1710677661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723A OLD WILLOW AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314217",
            "telephone_number": "570-251-9657",
            "fax_number": "570-251-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723A OLD WILLOW AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314217",
            "telephone_number": "570-251-9657",
            "fax_number": "570-251-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "EILEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": "206506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keishla T Rivera Figueroa, MD
• Robert E Howell (Howell's Medicine Center)
• Joanne R Roberts, LPC
• Jennifer Lauren Rodriguez Aiello, MD
• Michael C Rogers, DDS
• Jackie Rutledge, CMT
• Marwan E Sadekni, MD
• Susan Samek, LCAT, LPC
• Heather Schariest, LSW
• Joseph Charles Seprosky Jr., M.D.

• Optician in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Optician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.