Russell Alan Damico, LDO

Primary specialty

Optometric Assistant TechnicianTaxonomy code 156FX1201X

License

2474 Issued in AZ

Practice address

1650 W Valencia Rd
Tucson, AZ 85746-6021

Phone

(520) 573-3264

Fax

(520) 294-2686

NPI assigned

Mar 31, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1386447589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466021",
            "telephone_number": "520-573-3264",
            "fax_number": "520-294-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466021",
            "telephone_number": "520-573-3264",
            "fax_number": "520-294-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICO",
        "first_name": "RUSSELL",
        "middle_name": "ALAN",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1201X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": "AZ",
            "license": "2474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seana K Daly, MD
• Amy Dambrosio, PSY.D.
• Martha Jo Damek, MED
• Karen Kathryn Damgaard, PA-C
• Damian Parkinson MD
• Damon P. Don
• Walter Calvin Damper Jr., D.O
• Elizabeth Dampsey
• Andrew Damron, DO
• Silvia Damron, MS RD CNSC

• Optometric Assistant Technician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometric Assistant Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.