Peter Anthony Russo is a Maywood, Illinois based male Optometrist who is specialized in Optometry. Active license number of Peter Anthony Russo is 46008021 for Optometry in Illinois. Peter Anthony 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:
Peter Anthony 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.
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:
1790759694
NPI Enumeration Date:
15 Feb, 2006
NPI Last Update On:
04 Mar, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peter Anthony Russo are as mentioned below.
License Number
Specialization
State
Status
46008021
Optometry
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Peter Anthony Russo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
46008021
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Peter Anthony Russo at 2160 S 1st Ave, (17w740 22nd Steert, Oakbrook Terrace, Il. 60181), Maywood, Illinois or can call to book an appointment on 630-627-7399. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.