Gordon D. Russell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

529 Issued in NM

Practice address

3450 E Main St
Farmington, NM 87402-5327

Phone

(505) 325-7070

Fax

(505) 325-5812

NPI assigned

Feb 24, 2006

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 NM

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skyview Eyecare IncGroup PAC ID 1254405426, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

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.

• Skyview Eyecare Inc

  • Optometrist
  • Farmington, NM
  • NPI 1700075843
  Medicare reassignment Care Compare group NPD Authorized official
• Quickvision Inc.

  • Optometrist
  • Farmington, NM
  • NPI 1205932589
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1902872476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025327",
            "telephone_number": "505-325-7070",
            "fax_number": "505-326-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025327",
            "telephone_number": "505-325-7070",
            "fax_number": "505-325-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "GORDON",
        "middle_name": "D.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rubow, LCSW
• Kyle Ellis Ruckman, PA-C
• Jonathan B Rudolf, M.D.
• Roger G. Rung, P.T.
• Elysia Russell, LCSW
• Lacy Russell, WHNP-BC
• Virginia Russell
• Michael Joseph Rutledge, M.D.
• Ryan H Wilson DDS LLC
• Quincy Sa'Ena, DO

• Optometrist in Farmington, NM
• Providers in Farmington, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.