Chelsie Michelle Russ, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008184-1 Issued in NY

Practice address

2201 NW Market St
Seattle, WA 98107-4025

Phone

(206) 789-7417

NPI assigned

Jul 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

State University of New York - State College Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ballard Eye Clinic PLLCGroup PAC ID 5597177188, 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.

• Ballard Eye Clinic PLLC

  • Optometrist
  • Seattle, WA
  • NPI 1083219752
  Medicare reassignment Care Compare group NPD
• Seattle Sight Solutions

  • Health Service Clinic/Center
  • Seattle, WA
  • NPI 1730860578
  Medicare reassignment NPD Authorized official
• Eric Bergstrom OD, PLLC

  • Optometrist
  • Seattle, WA
  • NPI 1124289897
  Medicare reassignment NPD

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1376950212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NW MARKET ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074025",
            "telephone_number": "206-798-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NW MARKET ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074025",
            "telephone_number": "206-789-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "CHELSIE",
        "middle_name": "MICHELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008184-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela D Rush, MS, RD, CD
• Robert K. Rushing, D.C.
• Anirudh Rusia, MD
• Tanis Rusin, OTR/L
• Jason M Rusk, PHARMD
• Helene Gizelle Russ, PH.D.
• Yun H Russ, R.PH. BCPP
• Russell & Hansen PLLC
• Kayla Nicole Russell Bonham, DDS
• Sylvia Denise Russell-Shelton, RN

• Optometrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.