Individual
DR. JONATHON MICHAEL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1 HOPPIN ST, PROVIDENCE, RI 02903-4141
(401) 444-6551
(401) 444-6587
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
15382
CA
152W00000X
Optometrist
Primary
ODTG00783
RI
152W00000X
Optometrist
Primary
OPT.007122
OH
Other
Enumeration date
08/29/2011
Last updated
08/10/2026
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