Individual provider · Type 1 NPI

Joseph A. Russo, OD

Optometrist · South Portland, ME

NPI number 1114903218 Active

Practice location

364 Maine Mall Rd Ste F128
South Portland, ME 04106-3206

Fax (207) 383-3409

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XOPT1037 (ME)

Optometrist: 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 e…

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About NPI 1114903218

Joseph A. Russo, OD's National Provider Identifier is 1114903218, issued on Dec 20, 2005. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in South Portland, ME. The record was last updated on Jun 29, 2022.