Russell Wohl OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RUSSELL WOHL OD LLC

Practice address

255 Main St
Farmingdale, NY 11735-2619

Phone

(516) 249-0052

Fax

(516) 249-7000

NPI assigned

Jan 7, 2008

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, ODNPI 1558346684

Title

Partner

Phone

(516) 249-0052

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
  • Amityville, NY
  • NPI 1245415595

  O20100903000116

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Mark Wohl, OD

  • Optometrist
  • Farmingdale, NY
  • NPI 1558346684
  Medicare reassignment NPD Authorized official

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": "1447435797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352619",
            "telephone_number": "516-249-0052",
            "fax_number": "516-249-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352619",
            "telephone_number": "516-249-0052",
            "fax_number": "516-249-7000"
        }
    ],
    "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": "PARTNER",
        "authorized_official_telephone_number": "516-249-0052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne M. Roulet, M.A., CCC/SLP
• Courtney Rubenacker, LMT
• Susanna Lynn Rugolo, LPN
• Nayeiry Ruiz
• Danielle R Ruscio, PSY.D.
• Nadia Russo, MSED
• Wendy C Saar
• Karen Sachs
• Arashdeep Kaur Saini, DC
• Marcia Saint Preux

• Optometrist in Farmingdale, NY
• Providers in Farmingdale, 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.