Organization
ROSS & BIRGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN K BIRGE O.D. (VICE-PRESIDENT)
(270) 487-5741
Entity
Organization
Contact information
Practice address
22 EXECUTIVE DR, TOMPKINSVILLE, KY 42167-7478
(270) 487-5741
(270) 487-9664
Mailing address
22 EXECUTIVE DR, TOMPKINSVILLE, KY 42167-7478
(270) 487-5741
(270) 487-9664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03322
SPECTERA
KY
01
—
1205834587
NPI NUMBERS
KY
01
—
1386776169
MEDICARE GROUP NPI
KY
01
—
1720086267
NPI NUMBERS
KY
01
—
1801894340
NPI NUMBERS
KY
01
—
410049286
RAILROAD MEDICARE
KY
01
—
5940
DAVIS VISION
KY
05
—
77000933
—
KY
05
—
77007557
—
KY
05
—
77011013
—
KY
Enumeration date
03/09/2007
Last updated
01/07/2010
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