Russell Eyecare Inc.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OEG000421 Issued in PA

Legal business name

RUSSELL EYECARE INC.

Practice address

1450 Morrell Ave
Connellsville, PA 15425-3809

Phone

(724) 626-4486

NPI assigned

Jun 18, 2011

Last updated

Jun 18, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Barry David Russell, O.D.NPI 1952529299

Title

President/ Optometrist

Phone

(412) 496-0327

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barry D. Russell, O.D.

  • Corneal and Contact Management Optometrist
  • Connellsville, PA
  • NPI 1952529299
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308355200000",
    "number": "1033404900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LINDSAY DR",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154019430",
            "telephone_number": "412-496-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MORRELL AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253809",
            "telephone_number": "724-626-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-18",
        "last_updated": "2011-06-18",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/ OPTOMETRIST",
        "authorized_official_telephone_number": "412-496-0327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG000421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1565357",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxane Mongelluzzo, LCSW
• Jody Lynn Rumbaugh, D.C.
• Jon E. Rumbaugh, D.C.
• Ronald Charles Rumbaugh, DC
• Timothy E. Rumbaugh, D.C.
• Barry D. Russell, O.D.
• Charlene Rae Saloom, D.O.
• Gail Marie Santone, NP
• Tara Saunders
• Janelle Sepkovic, CRNP

• Corneal and Contact Management Optometrist in Connellsville, PA
• Providers in Connellsville, PA by specialty
• Corneal and Contact Management Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.