Active NPI
Joshua Allan Russell, OD
- Optometrist
- Leavenworth, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2254
- Practice address
- 2301 10TH Ave
Leavenworth, KS 66048-4214 - Phone
- (913) 682-2929
- NPI assigned
- May 31, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3277 | OK | |
| Optometrist | 152W00000X | 2025000170 | MO | |
| Optometrist | 152W00000X | 2254 | KS | Primary |
Addresses
Primary practice location
2301 10TH Ave
Leavenworth, KS 66048-4214
Mailing address
2301 10TH Ave
Leavenworth, KS 66048-4214
Phone (913) 682-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 10TH Ave
Leavenworth, KS 66048-4214
Phone (913) 682-2929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025000170 | MO | MD | Optometrist |
| 2254 | KS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyandotte Family Eyecare Center, LLC | Optometrist | Current | Accepting new patients |
| Family Eyecare Center Lansing LLC | Optometrist | Current | Accepting new patients |
| Norris and Kelly, P.a. | Optometrist | Current | Accepting new patients |
| Family Eyecare Center of Bonner Springs LLC | Optometrist | Current | Accepting new patients |
| Family Eyecare Center of Desoto Kansas LLC | Optometrist | Current | Accepting new patients |
Locations
13047 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 441-4050
8781 Lexington Ave
Ste 11
De Soto, KS 66018
Phone (913) 290-5085
21 N 12th St
Ste 102
Kansas City, KS 66102
Phone (913) 342-4405
2301 10th Ave
Leavenworth, KS 66048
Phone (913) 680-1365
Organizations & group practices 5
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.
-
- Optometrist
- Leavenworth, KS
- NPI 1467440305
-
- Optometrist
- Lansing, KS
- NPI 1578854451
-
- Optometrist
- Bonner Springs, KS
- NPI 1730514878
-
- Optometrist
- De Soto, KS
- NPI 1033009915
-
- Optometrist
- Kansas City, KS
- NPI 1306181367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1801637244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 10TH AVE",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660484214",
"telephone_number": "913-682-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 10TH AVE",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660484214",
"telephone_number": "913-682-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JOSHUA",
"middle_name": "ALLAN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-31",
"last_updated": "2025-07-28",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3277",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2025000170",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "2254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.