| Dr Diane M Russo, OD | |
|
637 Washington St, Dorchester, MA 02124-3510 | |
| (617) 825-9660 | |
| (617) 288-7898 |
| Full Name | Dr Diane M Russo |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 15 Years |
| Location | 637 Washington St, Dorchester, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174839146 | NPI | - | NPPES |
| 110101577A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 002810 (Connecticut) | Secondary |
| 152W00000X | Optometrist | 4926 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New England Eye Institute Inc | 1850294125 | 18 |
| Provider Name | New England Eye Institute Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487607388 PECOS PAC ID: 1850294125 Enrollment ID: O20040202000795 |
| Provider Name | Codman Square Health Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396808309 PECOS PAC ID: 8123013869 Enrollment ID: O20040420000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diane M Russo, OD 637 Washington St, Dorchester, MA 02124-3510 Ph: (617) 825-9660 | Dr Diane M Russo, OD 637 Washington St, Dorchester, MA 02124-3510 Ph: (617) 825-9660 |
Dr. Grace Eunhye Jeong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1353 Dorchester Ave, Dorchester, MA 02122 Phone: 617-288-3230 | |
Brandon Patrick Harris, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19 Sudan St # 2, Dorchester, MA 02125 Phone: 360-961-6074 | |
Dr. Bina Patel, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140 Fax: 617-288-3910 | |
Dr. Dan Phuong T Nguyen, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2110 Dorchester Ave, Suite 306, Dorchester, MA 02124 Phone: 617-296-1828 | |
Dr. Eliot Neil Cohen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 636 Columbia Rd, Dorchester, MA 02125 Phone: 617-825-9839 | |
Boston Eyeworks Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1676 Dorchester Ave, Dorchester, MA 02122 Phone: 617-288-0888 Fax: 617-288-0885 |