Russell M Webster, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5603 Issued in OH

Practice address

2214 Richland Mall
Mansfield, OH 44906-1249

Phone

(419) 529-8085

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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 OH

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

Southern College of Optometry, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Prusinski Eye Care IncGroup PAC ID 2163529611, 3 clinicians

Dr. George D. Poulos and Associates, Inc.Group PAC ID 1850395179, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Dr. George D. Poulos & Associates, Inc.

  • Optometrist
  • Strongsville, OH
  • NPI 1801842117
  Medicare reassignment Care Compare group NPD
• Prusinski Eye Care, Inc.

  • Optometrist
  • Mansfield, OH
  • NPI 1922123215
  Medicare reassignment Care Compare group NPD
• Dr. Jonathan M. Schonfeld, Inc.

  • Optometrist
  • Middleburg Heights, OH
  • NPI 1356428874
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1891918355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448050867",
            "telephone_number": "419-529-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 RICHLAND MALL",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061249",
            "telephone_number": "419-529-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "RUSSELL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A. Webb
• Pamela Kaye Webb, LPN/ IV
• Danielle E Weber
• Holly J Webster, RN
• John Brian Webster, D.D.S.
• Kelsey Nicole Wehr, FNP-C
• Julie A Weiner
• Chelsea Nicole Weiser
• Samantha Weitzel
• Christopher Welch

• Optometrist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.