Russell S. Fillmore, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4193T1387 Issued in OH

Practice address

1164 Lexington Ave
Mansfield, OH 44907-2254

Phone

(419) 756-0500

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Interoperability endpoints

• Direct secure messaging: russellfillmore@direct.eyecare-partners.com

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

• Clarkson Optometry Midwest Inc

  dba Clarkson Eyecare

  • Optometrist
  • Centerville, OH
  • NPI 1073917597
  Medicare reassignment NPD
• Northwest Eyecare Professionals LLC

  dba Northwest EyeCare Professionals

  • Optometrist
  • Columbus, OH
  • NPI 1831330976
  Medicare reassignment
• Clarkson Optometry Midwest Inc

  dba Clarkson Eyecare

  • Optometrist
  • Alliance, OH
  • NPI 1851971790
  NPD
• Cincinnati Eye Care Team LLC

  dba Cincinnati Eyecare Team

  • Optometrist
  • West Chester, OH
  • NPI 1760412464
  NPD (past)
• James C Bieber OD

  dba Northwest EyeCare Professionals

  • Optometrist
  • Columbus, OH
  • NPI 1841294550
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1306860754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072254",
            "telephone_number": "419-756-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072254",
            "telephone_number": "419-756-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLMORE",
        "first_name": "RUSSELL",
        "middle_name": "S.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OH",
            "license": "4193T1387",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4193T1387",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "4193T1387",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0811607",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Fields
• Drew Figley, D.D.S.
• James Patrick Figley Jr.
• Cynthia Neff Figueroa, MA CCCSLP
• Amanda M Filler, CNP
• Paige Finch, PA-C
• Danielle Leone Finley
• Hannah R Finley
• Ryan M. Finley
• Alissa Finnegan

• Optometrist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.