James Russell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4461 Issued in FL

Practice address

2478 Burnsed Blvd # 466-a
The Villages, FL 32163-2702

Phone

(352) 399-5412

NPI assigned

Sep 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• James Russell OD PA

  • Optometrist
  • The Villages, FL
  • NPI 1891593950
  Medicare reassignment NPD Authorized official
• Elyaman Eyecare, PLLC

  • Optometrist
  • The Villages, FL
  • NPI 1942178702
  NPD (past)
• HD Eyecare Corporation

  • Low Vision Rehabilitation Optometrist
  • Orlando, FL
  • NPI 1740611680
  NPD (past)
• Jaime a. Balaguer, Jr., O.D., PA

  • Optometrist
  • Pembroke Pines, FL
  • NPI 1013245331
  NPD (past)
• Peepers Eyecare Inc

  • Optician
  • The Villages, FL
  • NPI 1164958773
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1124351937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 WINDSORBROOKE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 BURNSED BLVD # 466-A",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632702",
            "telephone_number": "352-399-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4461",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT2551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard W Rozensky, DDS
• Shaun Matthew Rudi, CRNA
• Phillip Paul Ruppert, PSYD
• Tara Piner Rushing, APRN
• Amanda Kathleen Russ, DNP, APRN
• Daniel Ryan
• Denis Dean Sabins, DDS
• Latifah Sabree, MD
• Ibrahim Ebada Sadek, M.D.
• Kailee Sadvary, PT, DPT

• Optometrist in The Villages, FL
• Providers in The Villages, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.