Michael Ross, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8576T Issued in CA

Practice address

3088 Telegraph Rd
Suite a
Ventura, CA 93003-3234

Phone

(805) 648-6891

Fax

(805) 648-6386

NPI assigned

Jun 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in CA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silver Strand Optometry Corp

  • Optometrist
  • Port Hueneme, CA
  • NPI 1316516636
  NPD
• Family Optometry Group

  • Optometrist
  • Camarillo, CA
  • NPI 1356535538
  NPD (past)
• Michael B. Freeland O.D. Inc

  • Optometrist
  • Camarillo, CA
  • NPI 1376846519
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932145596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 TELEGRAPH RD",
            "address_2": "SUITE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033234",
            "telephone_number": "805-648-6891",
            "fax_number": "805-648-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 TELEGRAPH RD",
            "address_2": "SUITE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033234",
            "telephone_number": "805-648-6891",
            "fax_number": "805-648-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8576T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ41333Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Dawn Rosko
• Ross Burge, DO, a Professional Corporation
• Jay Dee Ross, D.D.S.
• Kayla Marie Ross
• Mark A Ross
• Michael Rotas, M.D.
• Danny Roth
• Michael Roth, DC
• Steven Rothstein, PHD
• Bonnie Erika Rouda-Ruiz, LVN

• Optometrist in Ventura, CA
• Providers in Ventura, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.