Individual provider Active NPI

E. Russell Dressen Jr., O.D.

  • Optometrist
  • Abilene, TX
National Provider Identifier
1891851218
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2170TG Issued in TX
Practice address
942 Hickory St
Abilene, TX 79601-4104
Phone
(325) 677-6331
Fax
(325) 677-3112
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2170TG TX Primary

Addresses

Primary practice location

942 Hickory St
Abilene, TX 79601-4104

Mailing address

PO Box 2994
Abilene, TX 79604-2994
Phone (325) 677-6331

Other identifiers 2

IdentifierTypeStateIssuer
121611101MedicaidTX
DR82491EOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130829000093 TX Practitioner - Optometry 7810130465 Practice locations: Abilene, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

942 Hickory St
Abilene, TX 79601-4104
Phone (325) 677-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2170TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
E. Russell Dressen, Jr. OD Optometrist PastSince Jan 1, 1994 Accepting new patients

Organizations & group practices 1

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1891851218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2994",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796042994",
            "telephone_number": "325-677-6331",
            "fax_number": "325-677-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796014104",
            "telephone_number": "325-677-6331",
            "fax_number": "325-677-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESSEN",
        "first_name": "E.",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2170TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121611101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "DR82491E",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.