Dr. Joseph A Russo is a South Portland, Maine based male Optometrist who is specialized in Optometry. Active license number of Dr. Joseph A Russo is OPT1037 for Optometry in Maine. Dr. Joseph A Russo 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Joseph A Russo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
364 Maine Mall Rd Ste F128, South Portland, Maine, 04106-3206
Phone:
207-383-3456
Fax:
207-383-3409
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1114903218
NPI Enumeration Date:
20 Dec, 2005
NPI Last Update On:
29 Jun, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Joseph A Russo are as mentioned below.
License Number
Specialization
State
Status
OPT1037
Optometry
Maine
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Joseph A Russo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0700177
Medicaid
Massachusetts
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
364 Maine Mall Rd Ste F128, South Portland, Maine
Zip:
04106-3206
Phone Number:
207-383-3456
Fax Number:
207-383-3409
Patients can reach Dr. Joseph A Russo at 364 Maine Mall Rd Ste F128, South Portland, Maine or can call to book an appointment on 207-383-3456. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.