Individual provider Active NPI

Josephine Sabrina Russo, OD

  • Optometrist
  • Larchmont, NY
National Provider Identifier
1619199114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0057471 Issued in NY
Practice address
2365 Boston Post Road
Larchmont Eye Associates Suite 202
Larchmont, NY 10538
Phone
(914) 834-2020
Fax
(914) 834-8206
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0057471 NY Primary

Addresses

Primary practice location

2365 Boston Post Road
Larchmont Eye Associates Suite 202
Larchmont, NY 10538

Mailing address

16 Kass Road
White Plains, NY 10605
Phone (914) 714-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20110119000115 NY Practitioner - Optometry 0941498802 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV0057471NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Optometry Service Ny PLLC Optometrist CurrentSince Sep 4, 2025 Accepting new patients
Empire Vision Center, Inc CurrentSince Oct 2, 2025 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Oct 2, 2025 Accepting new patients
Tania Stevens Optometrist PC Optometrist Past Accepting new patients
Bronxville Vision Care Optometrist Past Accepting new patients
Sophie Poselle, Optometrist, P.C. Optometrist PastSince Mar 1, 2012 Accepting new patients

Locations

275 US Highway 22
Springfield, NJ 07081
Phone (973) 376-7900

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

650 Central Park Ave
Scarsdale, NY 10583
Phone (914) 775-6437

777 White Plains Rd
Scarsdale, NY 10583
Phone (914) 472-9090

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619199114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KASS ROAD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-714-4660",
            "fax_number": "914-686-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 BOSTON POST ROAD",
            "address_2": "LARCHMONT EYE ASSOCIATES SUITE 202",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "10538",
            "telephone_number": "914-834-2020",
            "fax_number": "914-834-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "JOSEPHINE",
        "middle_name": "SABRINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0057471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.