DR. ANDREA NICOLE RUSSELL (NPI# 1295048536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295048536 |
| Entity Type | Individual |
| Full Name | DR. ANDREA NICOLE RUSSELL |
| Credential | O.D. |
| Practice Address |
428 Windmere Dr Suite 100 State College PA 16801-7644 |
| Practice Telephone | 8142342015 |
| Practice Fax Number | 8142385300 |
| Mailing Telephone | 8142342015 |
| Mailing Fax Number | 8142385300 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG002367 | PA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699182 | Andrea Russell | Counselor | 20280 Governors Hwy Ste 207, Olympia Fields, IL 60461-1028 | 2017-10-11 |
| 1205267762 | Andrea Russell | Speech-Language Pathologist | 921 Glendora Rd S, Kissimmee, FL 34759-3653 | 2013-12-10 |
| 1487734067 | Andrea W. Russell | Dentist | 8014 Cumming Hwy, Suite 401, Canton, GA 30115-9339 | 2006-10-17 |
| 1992803795 | Andrea Synnestvedt Russell | Social Worker | 800 Cottageview Dr Ste 1076, Traverse City, MI 49684-2614 | 2006-09-20 |
| 1225544380 | Andrea Mary Russell | Registered Nurse | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2017-12-27 |
| 1396297768 | Andrea Russell | Social Worker | 1001 N J St, Tacoma, WA 98403-2125 | 2016-11-01 |
| 1225454846 | Andrea Russell | Behavioral Analyst | 1218 Griegos Rd Nw, Albuquerque, NM 87107-3752 | 2014-03-06 |
| 1770822843 | Andrea Renee Russell | Social Worker | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2013-02-08 |
| 1124306576 | Andrea Russell | Social Worker | 1436 S Shelby St, Louisville, KY 40217-1195 | 2011-08-02 |
| 1447568365 | Andrea Russell | Pharmacist | 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 | 2010-09-14 |
| Street Address |
428 WINDMERE DR SUITE 100 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-7644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144217274 | Michael J Cymbor | Optometrist | 428 Windmere Dr, Ste 100, State College, PA 16801 | 2005-10-04 |
| 1598213902 | Durga Zally | Pharmacist | 428 Windmere Dr, State College, PA 16801-7644 | 2016-09-14 |
| 1245681881 | Dustin Edward Brown | Optometrist | 428 Windmere Dr, State College, PA 16801-7644 | 2016-06-24 |
| 1831304070 | Tlc The Laser Center (pittsburgh) LLC | Clinic/Center | 428 Windmere Dr, Ste. 100, State College, PA 16801-7668 | 2007-05-11 |
| 1619071131 | Nittany Eye Associates Ltd | Optometrist | 428 Windmere Dr, Suite 100, State College, PA 16801 | 2006-09-13 |
| 1497743785 | Marla L Moon | Optometrist | 428 Windmere Dr, Suite 100, State College, PA 16801-7668 | 2005-10-11 |
| 1023006202 | Michael J Talone | Optometrist | 428 Windmere Dr, Suite 100, State College, PA 16801-7668 | 2005-10-11 |
| 1780672113 | Fred H Carlin | Optometrist | 428 Windmere Dr, Suite 100, State College, PA 16801-7668 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902025182 | Central Penn Vision Associates, PC | Optometrist | 1363 N Atherton St, State College, PA 16803-2932 | 2007-04-25 |
| 1366502106 | Andrew C Blender | Optometrist | 412 S Allen St, State College, PA 16801-5201 | 2006-12-11 |
| 1790858983 | Julie Ann Haloua | Optometrist | 138 W College Ave, State College, PA 16801-3838 | 2006-11-16 |
| 1336235852 | Robin Marie Dutt | Optometrist | 208 South Allen Street, State College, PA 16801 | 2006-10-04 |
| 1760429674 | Pamela M Assalita | Optometrist | 310 S Allen Street, Suite C-104, State College, PA 16801 | 2006-05-31 |
| 1134172307 | Marshall L. Goldstein | Optometrist | 201 E Beaver Ave, State College, PA 16801-4902 | 2006-05-18 |
| 1407826969 | Tracy C Sepich | Optometrist | 100 Oakwood Avenue, Ste 300, State College, PA 16803 | 2006-01-25 |
| 1821078569 | Restore Eye Care, P.C. | Optometrist | 100 Oakwood Ave, Oakwood Centre Ste 300, State College, PA 16803 | 2006-01-19 |
| 1619966991 | Paul A Clement | Optometrist | 2901 E College Ave, Suite 976, State College, PA 16801-7577 | 2005-10-19 |
| 1144217274 | Michael J Cymbor | Optometrist | 428 Windmere Dr, Ste 100, State College, PA 16801 | 2005-10-04 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on DR. ANDREA NICOLE RUSSELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.