DR. JONATHAN BLAKE ROSS (NPI# 1881638328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881638328 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN BLAKE ROSS |
| Credential | OD |
| Practice Address |
1815 E Highland Dr Jonesboro AR 72401-6118 |
| Mailing Address |
3716 Riviera Dr Jonesboro AR 72404-6874 |
| Practice Telephone | 8709312020 |
| Practice Fax Number | 8709328004 |
| Mailing Telephone | 8709348680 |
| Mailing Fax Number | 8709328004 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2493 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 141013722 | 05 | |
| AR | AR BC/BS | 49648 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104881176 | Jonathan H Ross | Urology | 1725 W Harrison St Ste 710, Chicago, IL 60612 | 2006-04-20 |
| 1194712208 | Jonathan Ross | Psychiatry & Neurology | 6410 Rockledge Dr Ste 610, Bethesda, MD 20817-1844 | 2005-10-04 |
| 1285248575 | Jonathan Ross | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2020-09-03 |
| 1912486986 | Jonathan Ross | Case Manager/Care Coordinator | 1421 Hamlet St, Columbus, OH 43201-2533 | 2018-08-10 |
| 1144748872 | Jonathan David Ross | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655-3901 | 2017-09-01 |
| 1861932238 | Jonathan Ross | Pharmacist | 1513 Live Oak St, Beaufort, NC 28516-1518 | 2017-03-03 |
| 1255781266 | Jonathan Ross | Technician, Other | 3231 S Gulley Rd, Suite E, Dearborn, MI 48124-4407 | 2016-06-21 |
| 1780059816 | Jonathan Ross | Community/Behavioral Health | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-01 |
| 1013315530 | Jonathan Ross | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2014-12-16 |
| 1568724896 | Jonathan Ross | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2012-06-12 |
| Street Address |
1815 E HIGHLAND DR |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-6118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174551 | Randy J. Tribble | Pharmacist | 1815 E Highland Dr, Jonesboro, AR 72401-6118 | 2020-11-05 |
| 1841891231 | Lynnsey Baird | Pharmacist | 1815 E Highland Dr, Jonesboro, AR 72401-6118 | 2020-11-03 |
| 1134720741 | Cristina Sellers | Pharmacy | 1815 E Highland Dr, Jonesboro, AR 72401-6118 | 2020-11-02 |
| 1972103521 | Eric Escue | Pharmacist | 1815 E Highland Dr, Jonesboro, AR 72401-6118 | 2020-10-31 |
| 1417330101 | Cody Patterson | Optometrist | 1815 E Highland Dr, Jonesboro, AR 72401-6118 | 2015-06-30 |
| 1225196132 | Jonathan B. Ross Od Pa | Optometrist | 1815 E Highland Dr, Jonesboro, AR 72401-6118 | 2006-12-04 |
| 1164505640 | Wal-mart Stores, Inc. | Technician/Technologist | 1815 E Highland Dr, Jonesboro, AR 72401-6118 | 2006-10-20 |
| 1427075811 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1815 E Highland Dr, Jonesboro, AR 72401-6118 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1811240948 | Visioncheck | Optometrist | 105 Links Cir, Jonesboro, GA 30238-6308 | 2012-10-26 |
| 1700166394 | The Eyes Have It, LLC | Optometrist | 6525 Tara Blvd, Suite 134, Jonesboro, GA 30236-1227 | 2011-08-26 |
| 1538345970 | Harrell Eye Clinic Pa | Optometrist | 1716 Executive Sq, Jonesboro, AR 72401-6092 | 2008-01-16 |
| 1942493234 | Jacob Paul Moll | Optometrist | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 | 2007-08-21 |
| 1235214503 | Robert W. Mccullough | Optometrist | 137 W Mill St, Jonesboro, GA 30236-3572 | 2006-10-26 |
| 1093814048 | Larry Mcnamara | Optometrist | 514 Southwest Dr, Jonesboro, AR 72401-5857 | 2006-09-22 |
| 1306942503 | Michael Don Killough | Optometrist | 1801 Red Wolf Blvd, Suite 101, Jonesboro, AR 72401-5450 | 2006-09-15 |
| 1346356300 | Louis J. Layton | Optometrist | 2706 Phillips Dr, Jonesboro, AR 72401-7332 | 2006-08-22 |
| 1992716286 | Cade Malone Wilson | Optometrist | 1000 Windover Rd, Ste. C, Jonesboro, AR 72401-6066 | 2006-08-11 |
| 1750397675 | J. Brian Gray | Optometrist | 114 E Oak Ave, Jonesboro, AR 72401-3561 | 2006-07-31 |
| Find all providers in JONESBORO | ||||
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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.