Individual provider Active NPI

Alan Ross, O.D.

  • Optometrist
  • Closter, NJ
National Provider Identifier
1881697753
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3598 Issued in NJ
Practice address
270 Closter Dock Rd
Closter, NJ 07624-2616
Phone
(201) 768-2433
Fax
(201) 768-1861
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3598 NJ Primary

Addresses

Primary practice location

270 Closter Dock Rd
Closter, NJ 07624-2616

Mailing address

270 Closter Dock Rd
Closter, NJ 07624-2616
Phone (201) 768-2433

Other identifiers 1

IdentifierTypeStateIssuer
230784YFXKOtherNJPTAN: ASSOCIATED WITH NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000123 NJ Practitioner - OphthalmologyPractitioner - Optometry 2769410422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Eyecare Associates PAGroup PAC ID 3173589645, 6 clinicians

Practice addresses (Care Compare)

270 Closter Dock Rd
Closter, NJ 07624-2616
Phone (201) 768-2433

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3598NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Eyecare Associates PA Optometrist CurrentSince May 1, 2024 Accepting new patients
Eyecare One LLC Optometrist Past Accepting new patients

Locations

270 Closter Dock Rd
Closter, NJ 07624
Phone (201) 768-2433

Organizations & group practices 2

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1881697753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 CLOSTER DOCK RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242616",
            "telephone_number": "201-768-2433",
            "fax_number": "201-768-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CLOSTER DOCK RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242616",
            "telephone_number": "201-768-2433",
            "fax_number": "201-768-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "3598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN: ASSOCIATED WITH NPI",
            "identifier": "230784YFXK",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Closter, NJ

Sources for this page

Verify at the official NPI Registry.