KRISTIN GALLO RUSSO (NPI# 1770683559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770683559 |
| Entity Type | Individual |
| Full Name | KRISTIN GALLO RUSSO |
| Credential | O.D. |
| Practice Address |
350 Sparta Ave. Building A Sparta NJ 07871 |
| Mailing Address |
25 Mount Paul Rd Mendham NJ 07945-2600 |
| Practice Telephone | 9737295757 |
| Practice Fax Number | 9737298322 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5224 | NJ | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588068423 | Kristin Russo | Counselor | 75 1/2 Pickering St, Danvers, MA 01923-2018 | 2014-10-21 |
| 1730118423 | Kristin B Russo | Physical Therapist | 5070 W Rawson Ave, Franklin, WI 53132-9448 | 2006-07-03 |
| 1174971394 | Kristin Russo | Nurse Practitioner | 105 Medical Center Dr, Suite 303, Slidell, LA 70461-5544 | 2016-05-27 |
| 1750737573 | Kristin Irene Russo | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2016-05-11 |
| 1568654556 | Kristin Elizabeth Nelson Russo | Dentist | 4836 E Trindle Rd, Mechanicsburg, PA 17050 | 2007-08-14 |
| Street Address |
350 SPARTA AVE. BUILDING A |
| City | SPARTA |
| State | NJ |
| Zip Code | 07871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164522926 | Michele W Buchbauer | Psychologist | 350 Sparta Ave., Suite C-8, Sparta, NJ 07871-1150 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412737 | Jennifer Lynne Coviello | Physical Therapist | 10 North N Village Blvd, Suite D, Sparta, NJ 07871 | 2020-09-17 |
| 1104442466 | Sparta Senior Living, LLC | Assisted Living Facility | 3 North Village Boulevard, Sparta, NJ 07871 | 2020-06-23 |
| 1679115836 | Peli Eyecare and Associates | Optometrist | 10 North Village Boulevard, Suite C, Sparta, NJ 07871 | 2019-10-09 |
| 1841859451 | Ronetco Supermarkets, Inc. | Pharmacy | 18 North Village Boulevard, Sparta, NJ 07871 | 2019-06-07 |
| 1013571165 | North Jersey Scoliosis and Physical Therapy Specialists, LLC | Physical Therapist | 580 Lafayette Rd, St K, Sparta, NJ 07871 | 2019-04-24 |
| 1356805881 | Amazing Strides of Nj LLC | Behavioral Analyst | #322, 270 Sparta Ave., Suite 104, Sparta, NJ 07871 | 2019-01-29 |
| 1023589942 | Trinity Rehab Somerset Pa | Physical Therapist | 10 North Village Blvd, Suite D, Sparta, NJ 07871 | 2018-12-17 |
| 1053881649 | Lisa Arline Frisbie | Counselor | 25 Main Street Rear Suite, Sparta, NJ 07871 | 2018-11-27 |
| 1740756444 | Three Treasures Acupuncture of New Jersey, LLC | Acupuncturist | 43 Main Street Suite 102, Sparta, NJ 07871 | 2018-10-19 |
| 1952884181 | Capitol Care, Inc. | Community/Behavioral Health | 6 Laddey Lane, Sparta, NJ 07871 | 2018-09-13 |
| Find all providers in zip 07871 | ||||
| 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 |
|---|---|---|---|---|
| 1972141877 | Mullins Vision South, Pllc | Optometrist | 126 E Bockman Way, Sparta, TN 38583-2036 | 2019-12-11 |
| 1679115836 | Peli Eyecare and Associates | Optometrist | 10 North Village Boulevard, Suite C, Sparta, NJ 07871 | 2019-10-09 |
| 1467907063 | Logan Oliver | Optometrist | 18 Grayson St, Sparta, NC 28675-6006 | 2016-08-24 |
| 1841678927 | Stella Lee | Optometrist | 1 Wilson Dr, Sparta, NJ 07871-4416 | 2015-05-11 |
| 1689904682 | Anne M. Pfeffer O.d., Pllc | Optometrist | 570 S State St Ste B, Sparta, MI 49345-1524 | 2010-01-13 |
| 1851579056 | Keith Oliver Dr | Optometrist | 18 S Grayson St, Sparta, NC 28675-9598 | 2008-02-11 |
| 1639350424 | Mark Zaleski T/a Albert Minelli Opticians | Optometrist | 55 Sparta Ave, Sparta, NJ 07871-1815 | 2007-11-20 |
| 1144375866 | Southern Illinois Eyecare, PC | Optometrist | 520 E Broadway St, Sparta, IL 62286-1889 | 2007-01-24 |
| 1326128810 | Anne Michelle Pfeffer | Optometrist | 343 S Union St, Sparta, MI 49345-1531 | 2006-10-17 |
| 1457310203 | David Ryan Harkema | Optometrist | 38 N Union St, Sparta, MI 49345-1138 | 2006-03-21 |
| Find all providers in SPARTA | ||||
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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.