SUSAN ROSS OD PROFESSIONAL CORP (NPI# 1619576808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619576808 |
| Entity Type | Organization |
| Organization Name | SUSAN ROSS OD PROFESSIONAL CORP |
| Practice Address |
1689 N Bechtle Ave Springfield OH 45504-1568 |
| Mailing Address |
211 E Broadway Alton IL 62002-6220 |
| Practice Telephone | 9373231233 |
| Mailing Telephone | 6184629818 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | CATHY L SHORT (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6184629818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Shawnee Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1750980850 | Susan Ross Od Professional Corp | Optometrist | 3705 State Rd Ste 103, Ashtabula, OH 44004-5957 | 2020-10-20 |
| 1154920288 | Susan Ross Od Professional Corp | Optometrist | 28699 Chagrin Blvd Ste 400, Woodmere, OH 44122-4554 | 2020-10-20 |
| 1023617222 | Susan Ross Od Professional Corp | Optometrist | 803 N Lexington Springmill Rd, Ontario, OH 44906-1116 | 2020-10-20 |
| 1487253266 | Susan Ross Od Professional Corp | Optometrist | 8900 Mentor Ave, Mentor, OH 44060-6345 | 2020-10-22 |
| 1538768635 | Susan Ross Od Professional Corp | Optometrist | 2203 W 38th St, Erie, PA 16506-4501 | 2020-10-20 |
| 1861091902 | Susan Ross Od Professional Corp | Optometrist | 3330 Kent Rd, Stow, OH 44224-4537 | 2020-10-20 |
| 1659970838 | Susan Ross Od Professional Corp | Optometrist | 903 Tiffin Ave, Findlay, OH 45840-5857 | 2020-10-20 |
| 1932708047 | Susan Ross Od Professional Corp | Optometrist | 8211 Cornell Rd Ste 510, Cincinnati, OH 45249-2277 | 2020-10-20 |
| 1821697939 | Susan Ross Od Professional Corp | Optometrist | 1124 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2020-10-20 |
| Street Address |
1689 N BECHTLE AVE |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45504-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194612 | Richard Scott Penny | Optometrist | 1689 N Bechtle Ave, Springfield, OH 45504-1568 | 2005-06-17 |
| 1497997258 | Jeffrey E Wolf | Technician/Technologist | 1689 N Bechtle Ave, Springfield, OH 45504-1568 | 2009-03-25 |
| 1265638886 | Leonardi Group, Inc | Eyewear Supplier (Equipment, not the service) | 1689 N Bechtle Ave, Springfield, OH 45504-1568 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251227 | Brent Eresman | Massage Therapist | 25 W. Harding Rd, Springfield, OH 45504 | 2019-12-06 |
| 1346728300 | Bruns and Cross, LLC | Hearing Aid Equipment | 1905 West North Street, Springfield, OH 45504 | 2018-08-01 |
| 1376054197 | Trilogy Healthcare Operations of Springfield II, LLC | Skilled Nursing Facility | 2900 Bechtle Avenue, Springfield, OH 45504 | 2017-10-19 |
| 1639573967 | Lindsay Ann Brumfield | Speech-Language Pathologist | 643 Mayhill Road, Springfield, OH 45504 | 2014-10-15 |
| 1447662788 | Garrett Hayman | Chiropractor | 1052 Upper Valley Pike, Springfield, OH 45504 | 2014-05-21 |
| 1538582291 | Jerry Newport | Counselor | 474 N. Yellow Springs St, Mental Health Services for Clark and Madison Counties, Springfield, OH 45504 | 2014-01-30 |
| 1700217999 | Olivia Masters | Speech-Language Pathologist | 1600 St. Paris Rd., Springfield, OH 45504 | 2013-12-12 |
| 1972840312 | Luke N. Onuorah | Internal Medicine | 30 W Mccreight Ave Ste 106, Springfield, OH 45504 | 2013-01-04 |
| 1912208414 | Flexeon Rehabilitation Springfield Ohio, LLC | Clinic/Center | 1303 West 1st Street, Springfield, OH 45504 | 2010-11-15 |
| 1205137577 | Erin Elizabeth George | Social Worker | 30 W Mccreight Ave Ste 204, Springfield, OH 45504 | 2010-11-03 |
| Find all providers in zip 45504 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| 1376180109 | Drs. Akre & Clark, Ltd. | Optometrist | 623 W Rock St, Springfield, MN 56087-1028 | 2019-11-27 |
| 1407410087 | Missouri Physicians Eyecare Group, P.C. | Optometrist | 1415 E Battlefield St, Springfield, MO 65804-3701 | 2019-04-29 |
| 1467931006 | Vision Care Focus, LLC | Optometrist | 1507 Mohawk Blvd, Springfield, OR 97477-3355 | 2018-08-13 |
| 1306337126 | Casey Marie Smith | Optometrist | 1024 N Plum St, Springfield, OH 45504-2108 | 2018-05-29 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1790299311 | Springfield Eye Specialists LLC | Optometrist | 3231 S National Ave Ste 165, Springfield, MO 65807-7304 | 2017-11-17 |
| 1093253247 | Minh-tam Nguyen | Optometrist | 8424 Old Keene Mill Rd, Springfield, VA 22152-2302 | 2017-02-08 |
| 1013453877 | Grace Chang, Od PC | Optometrist | 6575n Frontier Dr, Springfield, VA 22150-1415 | 2017-01-17 |
| 1669821914 | Laura Kay | Optometrist | 1342 E Primrose St Ste B, Springfield, MO 65804-4224 | 2016-06-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45504 |
Please comment or provide details below to improve the information on SUSAN ROSS OD PROFESSIONAL CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.