Active NPIIndividual provider

Dr. Shanda P Ross, OD

Optometrist in Eatontown, New Jersey

NPI Number1487897260
Practice location
10 Industrial Way E Ste 2, Eatontown, NJ 07724-3333
Fax
—
Last updated
October 28, 2020

Shanda Pearl Ross is an Optometrist based in Eatontown, NJ. Shanda Pearl Ross practices in Eatontown, NJ and has the professional credentials of OD. The NPI Number for Shanda Pearl Ross is 1487897260 and holds a License No. 27OA00617500 (NJ). The current practice location address for Shanda Pearl Ross is 10 Industrial Way E Ste 2, Eatontown, NJ 07724-3333 and can be reached out via phone at 812-677-1186.

Provider Profile Details

NPI Number
1487897260
Provider Name
Shanda Pearl Ross
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
10 Industrial Way E Ste 2, Eatontown, NJ 07724-3333
Phone Number
812-677-1186
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
April 9, 2009
Last Update Date
October 28, 2020
Certification Date
October 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Industrial Way E Ste 2
Eatontown, NJ 07724-3333
Zip
07724-3333
Phone Number
812-677-1186
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
10 Industrial Way E Ste 2
Eatontown, NJ 07724-3333
City
Eatontown
State
NJ
Zip
07724-3333
Phone Number
812-677-1186

License Information

License Number
27OA00617500
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Optometrists near Eatontown, NJ

View all Optometrists in Eatontown →

Frequently Asked Questions

What is the NPI number of Dr. Shanda P Ross, OD?

The NPI number of Dr. Shanda P Ross, OD is 1487897260. It was assigned on April 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Shanda P Ross, OD?

Dr. Shanda P Ross, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00617500.

Where does Dr. Shanda P Ross, OD practice?

The practice location is 10 Industrial Way E Ste 2, Eatontown, NJ 07724-3333. The office can be reached at 812-677-1186 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487897260 directly on the NPPES registry website.

Browse related providers