Lori Leigh Russo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6416TG Issued in TX

Practice address

4000 E US Highway 377
Granbury, TX 76049-7432

Phone

(817) 573-7153

Fax

(817) 573-5640

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in TX

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

University of Houston - College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cheyne Eye Center PAGroup PAC ID 1052224730, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lori.russo@direct.revolutionehr.com

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.

• Cheyne Eye Center P.a.

  • Eyewear Supplier
  • Granbury, TX
  • NPI 1821091943

  Optometrist

  Medicare reassignment Care Compare group NPD
• William Drost Altig, O.D., P.C.

  dba Altig Optical

  • Optometrist
  • Fort Worth, TX
  • NPI 1982852760
  NPD (past)
• William L Aston OD and Melissa a Aston OD PC

  dba Eagle Ranch Vision Source

  • Optometrist
  • Fort Worth, TX
  • NPI 1558561605
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1700971637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E US HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497432",
            "telephone_number": "817-573-7153",
            "fax_number": "817-573-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E US HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497432",
            "telephone_number": "817-573-7153",
            "fax_number": "817-573-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "LORI",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6416TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Diane Rouse, MS, LPC
• Kelsey Paige Royston, LPC
• Raquel Coias Rubin, PA-C
• Chancey Marie Ruiz, LCDC
• Constnace Ruiz, PCA
• Sabir in Granbury, PLLC (Granbury Dentures & Implants)
• Christian Elijah Samano, DC
• Samuel Moon
• Jacqlyn Catherine Ann Sanchez, ARNP
• Gwendolyn Lee Sanders

• Optometrist in Granbury, TX
• Providers in Granbury, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.