Ross C Wortham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T197 Issued in WY

Practice address

400 E Adams Ave
Riverton, WY 82501-4413

Phone

(307) 856-6531

Fax

(307) 856-1306

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hometown Eyecare and Optical

  • Optometrist
  • Riverton, WY
  • NPI 1730608860
  NPD
• Valley Vision Center, PC

  • Optometrist
  • Lyman, WY
  • NPI 1639440019
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1821072042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E ADAMS AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825014413",
            "telephone_number": "307-856-6531",
            "fax_number": "307-856-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ADAMS AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825014413",
            "telephone_number": "307-856-6531",
            "fax_number": "307-856-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHAM",
        "first_name": "ROSS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "T197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102280600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wind River Podiatric Medicine and Surgery, PC
• Wind River SNF Operations, LLC (Wind River Rehabilitation and Wellness)
• Wind River Wraparound
• Wings of Change LLC
• Shawna Michele Wisdom
• James Todd Wright
• Susan Jean Wright, OTR/L
• Wyoming Counseling Services PC
• Wyoming Eye & Laser Inc.
• Wyoming Medical Imaging, LLC

• Optometrist in Riverton, WY
• Providers in Riverton, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.