DR. ALEX RUSSAKOVSKY (NPI# 1366634792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366634792 |
| Entity Type | Individual |
| Full Name | DR. ALEX RUSSAKOVSKY |
| Credential | O.D. |
| Practice Address |
22 Mcgrath Hwy Pearle Vision Somerville MA 02143-4508 |
| Mailing Address |
22 Mcgrath Hwy # 4 Somerville MA 02143-4508 |
| Practice Telephone | 6176253400 |
| Mailing Telephone | 6177218880 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2017-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4635 | MA | Eye and Vision Services Providers |
| Street Address |
22 MCGRATH HWY PEARLE VISION |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427062165 | Derek Dykes Moore | Social Worker | 22 Mcgrath Hwy, Somerville, MA 02143-4508 | 2006-07-28 |
| 1548470552 | Amo, Inc. | Technician/Technologist | 22 Mcgrath Hwy, Somerville, MA 02143-4508 | 2007-05-22 |
| 1386784668 | Paul I Knox | Counselor | 22 Mcgrath Hwy, Twin City Offices Suite 204, Somerville, MA 02143-4508 | 2007-02-07 |
| 1720126410 | Michael Joseph Hayes | Counselor | 22 Mcgrath Hwy, Suite 204, Somerville, MA 02143-4508 | 2007-02-02 |
| 1245378041 | James A Luccio | Optometrist | 22 Mcgrath Hwy, Pearle Vision Center, Somerville, MA 02143-4508 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| 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 |
|---|---|---|---|---|
| 1639447329 | Twin City Eye, Inc. | Optometrist | 22 Mcgrath Hwy # 4, Pearle Vision, Somerville, MA 02143-4508 | 2011-12-08 |
| 1104009232 | Yoram Friedman | Optometrist | 30 Roosevelt Pl, Somerville, NJ 08876-2010 | 2007-12-12 |
| 1205039484 | Arthur Samuel Muccilli | Optometrist | 10 Codington Place, Somerville, NJ 08876 | 2007-06-06 |
| 1003034752 | Steven Angelillo | Optometrist | 286 Broadway, Somerville, MA 02145-2934 | 2007-04-20 |
| 1194895052 | Charles P. Haddad O.d. | Optometrist | 105 East Market Street, Somerville, TN 38068-0489 | 2006-11-08 |
| 1548339690 | Michelle V Timko | Optometrist | 50 Division St Ste 101, Somerville, NJ 08876-2943 | 2006-11-06 |
| 1942216759 | Dzenana Idrizovic | Optometrist | 65 Beacon St, Somerville, MA 02143-4324 | 2006-08-01 |
| 1811935620 | Robert A. Kempler | Optometrist | 1 W Cliff St, Somerville, NJ 08876-1901 | 2006-06-03 |
| 1144289190 | Yasaman Ghavami | Optometrist | 174 Broadway, Somerville, MA 02145-3129 | 2006-03-20 |
| 1316937568 | Charles P Haddad | Optometrist | 105 E Market St, Somerville, TN 38068-1407 | 2005-10-27 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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| 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.