Joseph A Russo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT1037 Issued in ME

Practice address

364 Maine Mall Rd Ste F128
South Portland, ME 04106-3206

Phone

(207) 383-3456

Fax

(207) 383-3409

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brighton Eye Care PAGroup PAC ID 9537479787, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brighton Eye Care PA

  • Optometrist
  • Falmouth, ME
  • NPI 1578939906
  Medicare reassignment Care Compare group NPD
• Joseph a Russo OD, P.C.

  • Optometrist
  • South Portland, ME
  • NPI 1881335792
  NPD Authorized official
• Sabrina Gaan OD LLC

  • Optometrist
  • Plainville, MA
  • NPI 1174175855
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1114903218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 MAINE MALL RD STE F128",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063206",
            "telephone_number": "207-383-3456",
            "fax_number": "207-383-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 MAINE MALL RD STE F128",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063206",
            "telephone_number": "207-383-3456",
            "fax_number": "207-383-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0700177",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RR Dental and Cattle PLLC
• Cynthia R Rubinoff-Myers, MS, RD, LD
• Michael Thomas Ruetty, D.D.S.
• Savannah Lee Ruhlin
• Kayla Caldwell Rusher, PA
• Kristine Elizabeth Rustad, RN, BSN
• William J. Ruth, MD
• Katherine Rutherford, MD
• Frances Noland Ryan, LCSW
• Stephen Thomas Ryan, MD

• Optometrist in South Portland, ME
• Providers in South Portland, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.