Peter Anthony Russo in Maywood - Optometrist
Peter Anthony Russo - NPI 1790759694
Peter Anthony Russo is a Optometrist in Maywood, Illinois. Peter Anthony Russo practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Peter Anthony Russo is 1790759694. The last update date is 2010-03-04.
Peter Anthony Russo's current location address is 2160 S 1st Ave, Maywood, Illinois. You can contact this provider via phone number 6306277399 and fax number 6306277079. The mailing address for Peter Anthony Russo is 2160 S 1st Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Peter Anthony Russo |
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Address | 2160 S 1st Ave, Maywood, Illinois |
Phone Number | 6306277399 |
Fax Number | 6306277079 |
Sole Proprietor | N |
Credentials | OD |
NPI Number Detail
NPI Number | 1790759694 |
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Provider Enumeration Date | 2006-02-15 |
Last Updated Date | 2010-03-04 |
Provider Mailing Address Detail
Address | 2160 S 1st Ave |
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City | Maywood |
State | Illinois (IL) |
Post Code | 60153 |
Phone Number | 6306277399 |
Fax Number | 6306277079 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 46008021 |
Definition: 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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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46008021 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peter Anthony Russo by the Centers for Medicare & Medicaid Services?
The Peter Anthony Russo has been issued the NPI (National Provider Identifier) 1790759694, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Peter Anthony Russo is physically located?
The Peter Anthony Russo is situated at the following address: 2160 S 1St Ave, Maywood, IL 60153.
What is Peter Anthony Russo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peter Anthony Russo is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790759694 to Peter Anthony Russo?
The Centers for Medicare & Medicaid Services originally issued the 1790759694 to Peter Anthony Russo on 2006-02-15.
As of what date was the information regarding Peter Anthony Russo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Peter Anthony Russo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-04.