Individual
ROBERT DICK ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4224 HOUMA BLVD, SUITE 430, METAIRIE, LA 70006-2933
(504) 888-7771
(504) 888-9388
Mailing address
1 HOLYLAND DR, METAIRIE, LA 70006-1055
(504) 888-7771
(504) 888-9388
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10706R
LA
207W00000X
Ophthalmology Physician
14895
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122695
—
MS
01
—
180044862
RAILROAD MEDICARE
—
05
—
1997536
—
LA
Enumeration date
08/02/2005
Last updated
09/27/2011
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