Ross & Birge Inc | |
22 Executive Dr, Tompkinsville, KY 42167-7478 | |
(270) 487-5741 | |
(270) 487-9664 |
Full Name | Ross & Birge Inc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 22 Executive Dr, Tompkinsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386776169 | NPI | - | NPPES |
1386776169 | Other | KY | MEDICARE GROUP NPI |
1720086267 | Other | KY | NPI NUMBERS |
77000933 | Medicaid | KY | |
5940 | Other | KY | DAVIS VISION |
1205834587 | Other | KY | NPI NUMBERS |
1801894340 | Other | KY | NPI NUMBERS |
77011013 | Medicaid | KY | |
410049286 | Other | KY | RAILROAD MEDICARE |
77007557 | Medicaid | KY | |
1386776169 | Other | KY | MEDICAID GROUP NPI |
03322 | Other | KY | SPECTERA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Heather R Page |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720086267 PECOS PAC ID: 8628111622 Enrollment ID: I20100129000329 |
Provider Name | Steven K Birge |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801894340 PECOS PAC ID: 0446399190 Enrollment ID: I20100129000358 |
Provider Name | Willie F. Ross |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205834587 PECOS PAC ID: 1951482744 Enrollment ID: I20100201000052 |
Provider Name | Joseph Wade Wilson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669070041 PECOS PAC ID: 6204256738 Enrollment ID: I20201021002140 |
Mailing Address | Practice Location Address |
---|---|
Ross & Birge Inc 22 Executive Dr, Tompkinsville, KY 42167-7478 Ph: (270) 487-5741 | Ross & Birge Inc 22 Executive Dr, Tompkinsville, KY 42167-7478 Ph: (270) 487-5741 |
Willie F Ross Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22 Executive Dr, Tompkinsville, KY 42167 Phone: 270-487-5741 Fax: 270-487-9664 | |
Joseph Wade Wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22 Executive Dr, Tompkinsville, KY 42167 Phone: 270-487-5741 | |
Mrs. Heather Ross Page, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22 Executive Dr, Tompkinsville, KY 42167 Phone: 270-487-5741 Fax: 270-487-9664 | |
Steven K Birge, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22 Executive Dr, Tompkinsville, KY 42167 Phone: 270-487-5741 Fax: 270-487-9664 |