Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH A RUSSO, O.D.
ActiveDR. JOSEPH A RUSSO, O.D. is a Optometrist healthcare provider located in SOUTH PORTLAND, Maine. NPI 1114903218 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SOUTH PORTLAND, ME
Registration Details
- NPI Number
- 1114903218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2005 (20.464512701611 yrs)
- Last Updated
- Jun 29, 2022
- License
-
OPT1037 (ME)
Practice Information
- Address
-
364 MAINE MALL RD STE F128SOUTH PORTLAND, ME, 041063206Browse ME providers · Browse ZIP 04106
- Phone
- 2073833456
- Fax
- 2073833409
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SOUTH PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| DR. FRANCIS H ROBBINS | OD | 1619966041 |
| DR. SHANNON BELINDA FARR | OD | 1215915590 |
| DR. KRISHNA KRITHIVAS | O.D. | 1760441042 |
| PETER F MORSE | O.D. | 1407807126 |
| ROGER R GAGNON | O.D. | 1124128913 |
| AMY M ABBOTT | O.D. | 1578663365 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.