Dr Joseph A Russo, OD | |
364 Maine Mall Rd Ste F128, South Portland, ME 04106-3206 | |
(207) 383-3456 | |
(207) 383-3409 |
Full Name | Dr Joseph A Russo |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 364 Maine Mall Rd Ste F128, South Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114903218 | NPI | - | NPPES |
0700177 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT1037 (Maine) | Primary |
Provider Name | Brighton Eye Care Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578939906 PECOS PAC ID: 9537479787 Enrollment ID: O20151030001459 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph A Russo, OD 364 Maine Mall Rd Ste F128, South Portland, ME 04106-3206 Ph: (207) 383-3456 | Dr Joseph A Russo, OD 364 Maine Mall Rd Ste F128, South Portland, ME 04106-3206 Ph: (207) 383-3456 |
Ronald M. Cedrone Od, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 335 Maine Mall Rd, South Portland, ME 04106 Phone: 207-771-7968 Fax: 207-771-7983 | |
Casco Bay Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 144 Thadeus St, South Portland, ME 04106 Phone: 207-885-8686 Fax: 207-883-7154 | |
Peter F Morse Inc Optometrist Medicare: Medicare Enrolled Practice Location: 213 Maine Mall, South Portland, ME 04106 Phone: 207-774-8008 Fax: 207-774-0990 | |
Harbor View Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 743 Broadway, South Portland, ME 04106 Phone: 207-799-3031 Fax: 207-799-9005 | |
Roger R Gagnon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 510 Mainemall Rd., South Portland, ME 04106 Phone: 207-775-2030 Fax: 207-775-0755 | |
Maine Family Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 200 Gorham Rd, Suite 940, South Portland, ME 04106 Phone: 207-761-9054 |