Dr. Chris Russell, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2807 Issued in FL

Legal business name

DR. CHRIS RUSSELL, PA

Doing business as

Studio Eyes

Practice address

3466 Lithia Pinecrest Rd
Valrico, FL 33596-6301

Phone

(813) 657-3937

Fax

(813) 661-9009

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Clarence Henry Russell III, O.D.NPI 1487643441

Title

President

Phone

(813) 657-3937

Specialties & licenses 1

Addresses

Other names 1

• Studio Eyes Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clarence Henry Russell III, O.D.

  • Corneal and Contact Management Optometrist
  • Valrico, FL
  • NPI 1487643441
  NPD (past) Authorized official
• Mary Susan Lilly, O.D.

  • Optometrist
  • Riverview, FL
  • NPI 1003907650
  NPD (past)

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1073816906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966301",
            "telephone_number": "813-657-3937",
            "fax_number": "813-661-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966301",
            "telephone_number": "813-657-3937",
            "fax_number": "813-661-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHRIS RUSSELL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-657-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark C. Donnelly, D.O.
• Angela Irene Donner, ARNP
• Arina Sergeevna Doroshenko, DDS, MD
• Jordan Dorsey, NURSE PRACTITIONER
• Dr James M Petro OD, PA
• Dr. Karen Ungerp.a.
• Dr. Suzanne M. Allie, PSYD, PA
• Theodore G Dragoo, DC
• Nishea Dukes
• Tracy Michelle Dzugan, MS,FNP,PMHNP-BC,APRN

• Optometrist in Valrico, FL
• Providers in Valrico, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.