Russell Alan Warren, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1841 Issued in NC

Practice address

601 W Broad St
Dunn, NC 28334-4861

Phone

(910) 892-7197

Fax

(910) 892-6507

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Warren Eye Care Optometry PA

  • Optometrist
  • Dunn, NC
  • NPI 1124012380
  Medicare reassignment NPD

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1699769752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W BROAD ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344861",
            "telephone_number": "910-892-7197",
            "fax_number": "910-892-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W BROAD ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344861",
            "telephone_number": "910-892-7197",
            "fax_number": "910-892-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "RUSSELL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093HN",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "093HN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Temeka Wallace, P.A.
• Bruce Arnold Ward, PA-C
• Warren Eye Care Optometry PA
• Hubert Holman Warren Jr., OD
• Michelle Christina Warren, MD, MSPH
• Austin Zane Watkins, PHARMD
• Melissa Watts, PA-C
• Worth Nelson Watts Jr., MA, CCC/SLP
• Annette Page Webster, LPTA
• Angela L Weiser, DPT

• Optometrist in Dunn, NC
• Providers in Dunn, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.