LEADERSHIP SQUARE EYECARE
NPI 1114139680
Optometrist in Oklahoma City, OK
About Leadership Square Eyecare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEADERSHIP SQUARE EYECARE (NPI 1114139680) is a healthcare organization registered as an optometrist in Oklahoma City, Oklahoma and active in the NPI registry since May 2007. The organization lists Tami Ra Ross, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Leadership Square Eyecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Leadership Square Eyecare, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Oklahoma City, OK 73102
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tami R Ross, PC's NPI number?
The NPI number for Tami R Ross, PC is 1114139680. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Leadership Square Eyecare.
Where is Tami R Ross, PC located?
Tami R Ross, PC is located at 211 N Robinson Ave Ste 130, Oklahoma City, OK 73102. The listed phone number is (405) 232-0877.
What is Tami R Ross, PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Tami R Ross, PC enrolled in Medicare?
Yes. Tami R Ross, PC is registered in the Medicare PECOS enrollment system.
When is Tami R Ross, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tami R Ross, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Tami R Ross, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tami R Ross, PC was last updated on March 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Leadership Square Eyecare · NPI 1114139680
Optometrist organization in Oklahoma City, Oklahoma. Organization record, active in the CMS NPPES registry since May 4, 2007.
## Identity
- **NPI:** 1114139680 (Entity type: Organization)
- **Enumerated:** May 4, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Tami R Ross, Pc
- **Organization subpart:** No
- **Authorized official:** Tami Ross, PRESIDENT
## Practice location
- **Address:** 211 N ROBINSON AVE, STE 130, Oklahoma City, OK 73102-7109
- **Phone:** (405) 232-0877 · **Fax:** (405) 232-5956
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2010
- **Other identifiers:** Other 1285638627 (OK); Medicare UPIN U04490 (OK); Medicare PIN 244600501 (OK); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1114139680) · Data from the CMS NPPES public registry.