Healthcare Provider Details

I. General information

NPI: 1437014818
Provider Name (Legal Business Name): ROSS EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 FRANKLIN RD
SCOTTSVILLE KY
42164-8951
US

IV. Provider business mailing address

330 FRANKLIN RD PO BOX 266
SCOTTSVILLE KY
42164-8951
US

V. Phone/Fax

Practice location:
  • Phone: 270-237-3871
  • Fax: 270-237-5057
Mailing address:
  • Phone: 270-237-3871
  • Fax: 270-237-5057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MARK DOUGLAS ROSS
Title or Position: OWNER
Credential: OD
Phone: 270-237-3871