WILLIE F ROSS JR. O.D.
NPI 1205834587
Optometrist in Tompkinsville, KY

Q: What is Willie Ross's NPI number?

The NPI number for Willie Ross is 1205834587. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Willie Ross's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Willie Ross was last updated on January 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment

22 EXECUTIVE DR, TOMPKINSVILLE, KY 42167(270) 487-5741(270) 487-9664 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Willie F Ross Jr. O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE F ROSS JR. O.D. (NPI 1205834587) is an individual optometrist in Tompkinsville, Kentucky, licensed in Kentucky (755DT) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1969).

NPPES Registry Identity

NPI1205834587

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameWILLIE F ROSS JR.Credential: O.D.

Location Address22 EXECUTIVE DRTompkinsville, KY 42167-7478

Mailing Address22 Executive DrTompkinsville, KY 42167-7478 · (270) 487-5741 · Fax (270) 487-9664

Phone(270) 487-5741

Fax(270) 487-9664

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 1969

Enumeration DateJuly 12, 2005

Last NPPES UpdateJanuary 10, 2017

✔ NPI 1205834587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in KY · 755DT

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

22 EXECUTIVE DR, Tompkinsville, KY 42167

Open in Google Maps ↗

Other Identifiers 10

Medicaid77007557KY

Other000000199526KY · Bcbs

Other8846KY · Medicare P-10

Medicaid1386776169KY

Other5940KY · Davis Vision

Other1386776169KY · Medicare Corp

Medicare NSC4385920001KY

Medicaid1205834587KY

Other03322KY · Spectera

Other410049288Railroad Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Willie F Ross Jr. O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951482744

PECOS Enrollment IDI20100201000052

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

1,248 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

222 services212 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

65 services64 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

27 services24 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

24 services23 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42167 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYE CENTERS OF TENNESSEE, LLC

Optometrist