Dr. Michael Steven Russell
Optometrist

Address: 1112 S Washington St Ste 214, Naperville, IL 60540-7964
Phone: 6303556878

Dr. Michael Steven Russell (NPI# 1619351715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1619351715
Entity Type Individual
Full Name Dr. Michael Steven Russell
Credential O.D.
Gender Male
Practice Address 1112 S Washington St Ste 214
Naperville
IL 60540-7964
Practice Telephone 6303556878
Practice Fax Number 6303550043
Mailing Address 1112 S Washington St Ste 214
Naperville
IL 60540-7964
Mailing Telephone 6303556878
Mailing Fax Number 6303550043
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2015-07-17
Last Update Date 2020-12-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 152W00000X Optometrist Eye and Vision Services Providers 046010918 IL

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NPI Name Taxonomy Address Enumeration
1003374265 Michael Russell Surgery 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 2019-03-06
1518279215 Michael Russell Psychologist 4951 Chambers Street - 6th Floor, Ny, NY 10007-1209 2010-07-10
1245414093 Michael Russell Non-emergency Medical Transport (VAN) 4588 N 23rd St, Milwaukee, WI 53209-6201 2007-12-27
1124242821 Michael Dennis Russell Chiropractor 1164 Monroe St, Suite #1, Salinas, CA 93906-3565 2007-04-12
1831282441 Michael Guy Russell Social Worker 8 West Monroe, #907, Chicago, IL 60603 2006-10-02
1962502880 Michael A Russell Chiropractor 18624 Detroit Ave, Lakewood, OH 44107-3202 2006-09-22
1134139157 Michael A Russell Dentist 2240 N Highway 89, Suite A, Harrisville, UT 84404-2651 2006-08-09
1285640128 Michael Russell Counselor 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 2006-07-31
1255304887 Michael Lee Russell Sr. Clinical Neuropsychologist Hq, Tradoc, Suite 412 Atbo-m, Bldg 82, 60 Ingalls Road, Fort Monroe, VA 23651-1032 2006-02-13
1780289504 Michael Russell Pharmacist 208 W Jackson St, Sullivan, IL 61951-1454 2020-12-01
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Physician Overview

NPI 1619351715
PAC ID by PECOS 5496042491
Professional Enrollment ID I20160919002183
Full Name Michael S Russell
Organization Legal Name OSWEGO VISION, LTD
Phone Number 6305548002
Gender M
Medical School ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 2015
Primary Specialty OPTOMETRY
Group Practice PAC ID 5496773103
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467072942 Direct Mobile Vision, Pllc Optometrist 1891 Bay Scott Cir Ste 109, Naperville, IL 60540-1138 2020-04-24
1811541758 Maryam Khan Optometrist 1807 Princess Cir, Naperville, IL 60564-3187 2019-07-29
1508394008 Cassie Jean Reeves Optometrist 1516 Legacy Cir Ste 102, Naperville, IL 60563-1253 2017-05-27
1598291882 Kori Klover Optometrist 232 S Washington St, Naperville, IL 60540-5361 2017-05-04
1700125507 Opsis Eyewear, LLC Optometrist 152 W. Gartner Rd., Suite 116, Naperville, IL 60540-7523 2013-02-14
1528310885 Industrial Optical Service, Inc. Optometrist 2555 W 75th St, Suite 119, Naperville, IL 60540-9441 2012-10-11
1467766824 Pranali Sirohi Optometrist 152 W Gartner Rd, Suite 116, Naperville, IL 60540-7500 2010-07-27
1508095357 Maxivision, PC Optometrist 4931 S. Route 59, Suite # 115, Naperville, IL 60564-2692 2009-07-14
1023243847 Fox Valley Laser Center Optometrist 1960 Springbrook Square Dr Ste 110, Naperville, IL 60564-5959 2009-05-22
1023262789 Amber Lynn Dawson Optometrist 1763 Freedom Dr, Suite 129, Naperville, IL 60563-3548 2008-11-07
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Office Location

Street Address 1112 S WASHINGTON ST STE 214
City NAPERVILLE
State IL
Zip Code 60540-7964

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154917375 Michael S Russell, Od, LLC Optometrist 1112 S Washington St Ste 214, Naperville, IL 60540-7964 2020-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760007678 Mandalai Oral and Maxillofacial Surgery PC Oral & Maxillofacial Surgery 720 S. Brom Drive Suite 103, Naperville, IL 60540 2020-06-16
1316418957 James Edward Frank Counselor 600 South Washington Street, Suite 302, Naperville, IL 60540 2018-12-07
1093208332 Ingrid Johnson Developmental Therapist Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 2018-06-12
1225528524 Tara Rada Nieberding Contractor 1701 Quincy Ave Ste 12, Naperville, IL 60540 2018-05-14
1588182190 Debra Xiangjun Hayes Acupuncturist 226 N Washington St # 2, Naperville, IL 60540 2017-09-03
1487197166 Health Improvement and Preventive Services LLC Family Medicine 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 2016-11-29
1588013775 Matthew Jacob Imber Chiropractor 1220 Hobson Rd Ste 220, Naperville, IL 60540 2016-06-08
1457711418 Elite Pain Medical Group Inc Physical Medicine & Rehabilitation 720 South Brom Drive, Suite 201, Naperville, IL 60540 2016-03-03
1265814800 Jenifer Lynn Mersman Chiropractor 475 River Bend Rd. Suite 104, Naperville, IL 60540 2015-06-19
1386038016 Jonathon Martin Ruiz Specialist/Technologist 440 N Brainard Street, Naperville, IL 60540 2015-03-19
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Competitor

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City NAPERVILLE
Zip Code 60540

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.