Individual provider Active NPI

Howard K Ross, OD

  • Optometrist
  • Lawton, OK
National Provider Identifier
1730179169
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
945 Issued in OK
Practice address
4250 NW Cache Rd.
Lawton, OK 73505
Phone
(580) 353-5090
Fax
(580) 353-5105
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 945 OK Primary

Addresses

Primary practice location

4250 NW Cache Rd.
Lawton, OK 73505

Mailing address

4250 NW Cache Rd.
Lawton, OK 73505
Phone (580) 353-5090

Other identifiers 1

IdentifierTypeStateIssuer
100764870AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000399 OK Practitioner - Optometry 1557403417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Associates P.L.L.C.Group PAC ID 0840294120, 7 clinicians

Practice addresses (Care Compare)

4250 NW Cache Rd
Complete Eye Care
Lawton, OK 73505-3606
Phone (580) 248-0061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
945OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Associates, P.L.L.C. Optometrist CurrentSince Dec 9, 2014 Accepting new patients

Locations

409 SW C Ave
Lawton, OK 73501
Phone (580) 248-5280

4250 NW Cache Rd
Lawton, OK 73505
Phone (580) 248-0061

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1730179169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 NW CACHE RD.",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "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": "4250 NW CACHE RD.",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-353-5090",
            "fax_number": "580-353-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "HOWARD",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100764870A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.