Individual
MRS. HEATHER LOU ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
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
1557
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000289047
BCBS
—
01
—
03322
SPECTERA
KY
01
—
1386776169
MEDICARE GROUP
KY
05
—
1386776169
—
KY
05
—
1720086267
—
KY
01
—
410049286
RAILROAD MEDICARE
KY
01
—
5940
DAVIS VISION
KY
05
—
77000933
—
KY
01
—
8846
MEDICARE P-10
KY
Enumeration date
07/08/2005
Last updated
04/23/2026
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