Individual
JONATHAN E ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001711
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101541859
MEDICAID PROVIDER #
PA
01
—
1054419
AETNA HMO
PA
01
—
251100359004
CAHMPVA/ TRICARE
PA
01
—
266195
ADVANTRA
PA
01
—
410781
UPMC
PA
01
—
7128770
AETNA COMMERCIAL
PA
01
—
CIGNA
9872744
PA
Enumeration date
10/31/2005
Last updated
09/15/2008
Update your record
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