Individual provider Active NPI

Ashley Russell, OD

  • Optometrist
  • Williamsville, NY
National Provider Identifier
1659862506
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008762 Issued in NY
Practice address
6333 Main St Ste 1
Williamsville, NY 14221-5800
Phone
(716) 632-3545
NPI assigned
May 27, 2018
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008762 NY Primary

Addresses

Primary practice location

6333 Main St Ste 1
Williamsville, NY 14221-5800

Mailing address

6333 Main St Ste 1
Williamsville, NY 14221-5800
Phone (716) 632-3545

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
I20200812001379 NY Practitioner - Optometry 2860819109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6333 Main St
Suite 1
Williamsville, NY 14221-5800
Phone (716) 632-3545

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
85
Promoting interoperability
94
Improvement activities
40
Cost
62.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008762NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island CurrentSince Sep 1, 2023 Accepting new patients
Ophthalmic Consultants of Long Island Past Accepting new patients

Locations

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

3670 S Benzing Rd
Ste J
Orchard Park, NY 14127
Phone (716) 631-3300

6333 Main St
Williamsville, NY 14221
Phone (716) 631-8400

6333 Main St
Ste 1
Williamsville, NY 14221
Phone (716) 632-3545

Interoperability endpoints

  • Direct secure messaging: ashley.russell.d1.p1@direct.ocli.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1659862506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 MAIN ST STE 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215800",
            "telephone_number": "716-632-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 MAIN ST STE 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215800",
            "telephone_number": "716-632-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.