Russell Wohl OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RUSSELL WOHL OD LLC

Practice address

85 Broadway
Ste C
Amityville, NY 11701-2743

Phone

(631) 264-1515

Fax

(631) 264-2515

NPI assigned

Jan 7, 2008

Last updated

May 8, 2019By 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. Russell Mark Wohl

Title

Optometrist

Phone

(631) 264-1515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Russell Wohl OD LLC

  • Optometrist
  • Farmingdale, NY
  • NPI 1447435797

  O20100903000116

  Same enrollment

Locations

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1245415595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BROADWAY",
            "address_2": "STE C",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012743",
            "telephone_number": "631-264-1515",
            "fax_number": "631-264-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BROADWAY",
            "address_2": "STE C",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012743",
            "telephone_number": "631-264-1515",
            "fax_number": "631-264-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL WOHL OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "WOHL",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "631-264-1515",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petrona Elizabeth Royal, COTA
• RS Neuro Medical, P.C.
• Janice Ruan, PHARMD
• John Matthew Ruddy, D.C.
• Robert Ruppert
• Rita Russo, SLP
• Carolyn Ryan
• Michelle Elizabeth Ryan, OTR/L
• Diana Sablich
• Charles Haddon Elijah Sadaphal, M.D.

• Optometrist in Amityville, NY
• Providers in Amityville, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.