NPI 1144213786

Brian Matthew Ross, OD

Practitioner Optometrist Terre Haute, IN

Practice location

Address: 643 Ohio St, Terre Haute, IN 47807-3525
Phone: (812) 232-0073
Fax: (812) 232-0074
Mailing address: 9795 Crosspoint Blvd Suite 100, Indianapolis, IN 46256-3354

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003235A (IN)

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Registry record

NPI: 1144213786
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2005
Record last updated: 9 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.