Jonathan Blake Ross in Jonesboro - Optometrist
Jonathan Blake Ross - NPI 1881638328
Jonathan Blake Ross is a Optometrist in Jonesboro, Arkansas. Jonathan Blake Ross practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jonathan Blake Ross is 1881638328. The last update date is 2009-05-11.
Jonathan Blake Ross's current location address is 3716 Riviera Dr, Jonesboro, Arkansas. You can contact this provider via phone number 8709348680 and fax number 8709328004. The mailing address for Jonathan Blake Ross is 3716 Riviera Dr, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Blake Ross |
|---|---|
| Address | 3716 Riviera Dr, Jonesboro, Arkansas |
| Phone Number | 8709348680 |
| Fax Number | 8709328004 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1881638328 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2009-05-11 |
Provider Mailing Address Detail
| Address | 3716 Riviera Dr |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724046874 |
| Phone Number | 8709348680 |
| Fax Number | 8709328004 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2493 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 141013722 | AR | -- | |
| 49648 | AR | AR BC/BS |
Post Comment/ Review Below
What is the unique identification code assigned to Jonathan Blake Ross by the Centers for Medicare & Medicaid Services?
The Jonathan Blake Ross has been issued the NPI (National Provider Identifier) 1881638328. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jonathan Blake Ross is physically located?
The Jonathan Blake Ross is situated at the following address: 3716 Riviera Dr, Jonesboro, AR 724046874.
What is the area of specialization for Jonathan Blake Ross, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jonathan Blake Ross is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881638328 to Jonathan Blake Ross?
The Jonathan Blake Ross received its 1881638328 assignment from the Centers for Medicare & Medicaid Services on 2006-06-15.
As of what date were the Jonathan Blake Ross's details last updated?
The information pertaining to the Jonathan Blake Ross, including its address, specialty, and other details, was most recently updated on 2009-05-11.