Kelly G Ross Od Pa in Walnut Ridge - Optometrist
Kelly G Ross Od Pa - NPI 1982760955
Kelly G Ross Od Pa is a Optometrist in Walnut Ridge, Arkansas. Kelly G Ross Od Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kelly G Ross Od Pa is 1982760955. The last update date is 2009-03-05.
Kelly G Ross Od Pa's current location address is 1014 W Main St, Walnut Ridge, Arkansas. You can contact this provider via phone number 8708862632 and fax number 8708861514. The mailing address for Kelly G Ross Od Pa is 1014 W Main St, Walnut Ridge, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly G Ross Od Pa |
|---|---|
| Address | 1014 W Main St, Walnut Ridge, Arkansas |
| Phone Number | 8708862632 |
| Fax Number | 8708861514 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ross Kelly |
| Credentials | O.D. |
| Telephone Number | 8708862632 |
NPI Number Detail
| NPI Number | 1982760955 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2009-03-05 |
Provider Mailing Address Detail
| Address | 1014 W Main St |
|---|---|
| City | Walnut Ridge |
| State | Arkansas (AR) |
| Post Code | 724761004 |
| Phone Number | 8708862632 |
| Fax Number | 8708861514 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2485 |
|
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 |
|---|---|---|---|
| 167096722 | AR | -- | |
| 5F267 | AR | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Kelly G Ross Od Pa's unique identification number?
The Kelly G Ross Od Pa has been assigned the NPI (National Provider Identifier) Number 1982760955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Kelly G Ross Od Pa is physically located?
The Kelly G Ross Od Pa is situated at the following address: 1014 W Main St, Walnut Ridge, AR 724761004.
What is Kelly G Ross Od Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly G Ross Od Pa's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982760955 to Kelly G Ross Od Pa?
The Centers for Medicare & Medicaid Services originally issued the 1982760955 to Kelly G Ross Od Pa on 2006-12-28.
As of what date was the information regarding Kelly G Ross Od Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly G Ross Od Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-03-05.
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