SUSAN ROSS OD PROFESSIONAL CORP (NPI# 1023617222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023617222 |
| Entity Type | Organization |
| Organization Name | SUSAN ROSS OD PROFESSIONAL CORP |
| Practice Address |
803 N Lexington Springmill Rd Ontario OH 44906-1116 |
| Mailing Address |
211 E Broadway Alton IL 62002-6220 |
| Practice Telephone | 4195252060 |
| Mailing Telephone | 6184629818 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | CATHY 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 |
| 1487253266 | Susan Ross Od Professional Corp | Optometrist | 8900 Mentor Ave, Mentor, OH 44060-6345 | 2020-10-22 |
| 1619576808 | Susan Ross Od Professional Corp | Optometrist | 1689 N Bechtle Ave, Springfield, OH 45504-1568 | 2020-10-20 |
| 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 |
803 N LEXINGTON SPRINGMILL RD |
| City | ONTARIO |
| State | OH |
| Zip Code | 44906-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| 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 |
|---|---|---|---|---|
| 1699391631 | Irene Minjee Park | Optometrist | 1131 W 6th St Ste 150, Ontario, CA 91762-1116 | 2020-06-24 |
| 1912481961 | Patricia Liang | Optometrist | 3155d Sedona Ct, Ontario, CA 91764-6555 | 2018-09-15 |
| 1558853838 | Danny Lee Head Jr. | Optometrist | 1 Mills Cir Ste 516, Ontario, CA 91764-5211 | 2018-06-03 |
| 1235444605 | Li Jung Wang | Optometrist | 3200 Inland Empire Blvd Ste 140, Ontario, CA 91764-5569 | 2010-08-10 |
| 1457574733 | Frances Marie Sanchez | Optometrist | 615 N Palm Ave, Ontario, CA 91762-3219 | 2007-04-11 |
| 1992856298 | Sandra Akemi Ninomiya | Optometrist | 1 Mills Cir, Ontario Mills #516, Ontario, CA 91764-5207 | 2007-01-15 |
| 1801947486 | Laurel Jensen | Optometrist | 3155-d Sedona Court, Suite 100, Ontario, CA 91764 | 2007-01-12 |
| 1144302654 | Vinnie Tieu | Optometrist | 4275 Concours Ste 100, Ontario, CA 91764-4932 | 2006-10-20 |
| 1538178785 | Michelle Anne Duran | Optometrist | 1131 W Sixth St Ste 150, Ontario, CA 91762-1116 | 2006-08-05 |
| 1881600799 | Richard L Simpson | Optometrist | 1131 W 6th St, Suite 150, Ontario, CA 91762-1121 | 2006-07-31 |
| Find all providers in ONTARIO | ||||
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| 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.