Ross, Willie F

Ross, Willie F is an individual health care provider with primary practice located at 22 Executive Dr , Tompkinsville KY 42167-7478. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ross, Willie F can be contacted via phone (270) 487-5741.

Contact Information

Primary practice address
22 Executive Dr Tompkinsville KY 42167-7478
Phone: (270) 487-5741
Fax: (270) 487-9664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 755DT Kentucky

Profile Details

NPI number 1205834587
LBN Legal business name Ross, Willie F
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jan 10th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205834587 NPPES
Kentucky Other 03322 SPECTERA
Kentucky MEDICAID 1386776169 SPECTERA
Kentucky MEDICAID 77007557 SPECTERA
Kentucky Other 8846 SPECTERA
Kentucky MEDICAID 1205834587 SPECTERA
Kentucky Other 000000199526 SPECTERA
Kentucky Other 410049288 SPECTERA
Kentucky Other 1386776169 SPECTERA
Kentucky Other 5940 SPECTERA

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