Anmarie J Russo, OD | |
88 Ansel Hallet Rd, West Yarmouth, MA 02673-2556 | |
(508) 771-4848 | |
(508) 775-4103 |
Full Name | Anmarie J Russo |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 88 Ansel Hallet Rd, West Yarmouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851341192 | NPI | - | NPPES |
0369721 | Medicaid | MA | |
003897 | Other | TUFT HEALTH PLAN | |
152022 | Other | HARVARD PILGRAM HLTH CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3897 (Massachusetts) | Primary |
Provider Name | Lexington Eye Associates, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467502757 PECOS PAC ID: 5698748986 Enrollment ID: O20040816000511 |
Provider Name | Putnoi Eye Care Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649515131 PECOS PAC ID: 3577717933 Enrollment ID: O20130212000202 |
Provider Name | Lexington Eye Associates - Bid |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801204714 PECOS PAC ID: 8820315682 Enrollment ID: O20150317000159 |
Mailing Address | Practice Location Address |
---|---|
Anmarie J Russo, OD 50 Staniford St, Suite 600, Boston, MA 02114-2517 Ph: (617) 367-4800 | Anmarie J Russo, OD 88 Ansel Hallet Rd, West Yarmouth, MA 02673-2556 Ph: (508) 771-4848 |
Anne J Farley-poyant, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 88 Ansel Hallet Rd, West Yarmouth, MA 02673 Phone: 508-771-4848 Fax: 508-833-9924 |