RICHARD SCOTT RUSSELL


Address: 18 Jayson Ave, Great Neck, NY 11021-4238
Phone: 5167738002

RICHARD SCOTT RUSSELL (NPI# 1598772923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598772923
Entity Type Individual
Full Name RICHARD SCOTT RUSSELL
Other Name R. SCOTT RUSSELL
Credential M.D.
Practice Address 18 Jayson Ave
Great Neck
NY 11021-4238
Practice Telephone 5167738002
Practice Fax Number 5167738002
Mailing Telephone 5167738002
Mailing Fax Number 5167738002
Enumeration Date 2006-08-01
Last Update Date 2018-09-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 172558 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY EMPIRE BLUE SHIELD 0F718 01
NY CAQH 10811759 01

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Office Location

Street Address 18 JAYSON AVE
City GREAT NECK
State NY
Zip Code 11021-4238

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1457853707 Allison Squillace Social Worker 7 Bond Suite 1a, Great Neck, NY 11021 2018-03-02
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669829610 Roozbeh Akhtari Ophthalmology 600 Northern Blvd Ste 17, Great Neck, NY 11021-5206 2016-05-19
1013236322 Matthew Gorski Ophthalmology 600 Northern Blvd Ste 214, Great Neck, NY 11021 2010-05-26
1033381983 Na Ma Ophthalmology 39 Kings Point Rd, Great Neck, NY 11024-1635 2008-04-01
1740474402 Long Island Vitreo Retinal Consultants Ophthalmology 600 Northern Blvd Ste 216, Great Neck, NY 11021-5200 2007-09-05
1649330671 Stacey Jill Kruger Ophthalmology 600 North Boulevard, Suite 220, Great Neck, NY 11021 2006-12-11
1477636991 Sylvia Rose Kodsi Ophthalmology 600 Northern Blvd Ste 220, Great Neck, NY 11021-5200 2006-10-21
1710095252 Neri Malka Ophthalmology 120 Hampshire Rd, Great Neck, NY 11023-1231 2006-08-25
1316953722 Dan Levy Ophthalmology 1 Bayport Ln N, Great Neck, NY 11023-1840 2006-07-31
1265455562 David S Lerner Ophthalmology 2 Chester Dr, Great Neck, NY 11021-4905 2006-07-26
1215995139 Bahram Alyeshmerni Ophthalmology 26 Pine Drive, Great Neck, NY 11021 2006-05-02
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Competitor

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City GREAT NECK
Zip Code 11021

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Dataset Information

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.

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