MR. ROBERT EDWARD RUSSO (NPI# 1831282904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831282904 |
Entity Type | Individual |
Full Name | MR. ROBERT EDWARD RUSSO |
Practice Address |
18 Railroad Street Essex Junction VT 05453 |
Mailing Address |
Po Box 35 18 Railroad Street Essex Junction VT 05453 |
Practice Telephone | 8028794515 |
Practice Fax Number | 8028794515 |
Mailing Telephone | 8028794515 |
Mailing Fax Number | 8028794515 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
14 | VT | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 0006615 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467547703 | Robert Joseph Russo | Dentist | 1929 Lincoln Hwy East, Suite 150, Lancaster, PA 17602 | 2006-10-03 |
1114924693 | Robert D. Russo | Radiology | 75 Kings Highway Cutoff, Suite 1a, Fairfield, CT 06824-5340 | 2005-06-30 |
1912274978 | Robert Russo | Pharmacist | 1809 E Allegheny Ave, Philadelphia, PA 19134-3119 | 2011-11-18 |
1245480045 | Robert Russo Jr. | Counselor | 311 Doric Ave, Cranston, RI 02910-2903 | 2008-09-29 |
1740293661 | Robert Russo | Internal Medicine | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-08-14 |
1891720066 | Robert Anthony Russo | Dentist | 321 Washington St, Gloucester, MA 01930-4837 | 2006-07-12 |
1215976493 | Robert Russo Jr. | Physical Therapist | 4266 Acme Rd, Frankfort, NY 13340-3504 | 2006-06-05 |
1104871656 | Robert James Russo | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2006-05-23 |
1881643245 | Robert A Russo | Podiatrist | 1255 Portland Ave, Rochester, NY 14621-2728 | 2006-05-10 |
1730144064 | Robert J. Russo | Internal Medicine | 9850 Genesee Ave, Suite 350, La Jolla, CA 92037-1224 | 2006-04-19 |
Street Address |
18 RAILROAD STREET |
City | ESSEX JUNCTION |
State | VT |
Zip Code | 05453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477160844 | Julie Ann Davis | Dietitian, Registered | 29 Bobolink Cir, Essex Junction, VT 05452-2234 | 2020-09-29 |
1619580081 | Guerda Mulumba | Nurse Practitioner | 4 Pearl St, Essex Junction, VT 05452-4095 | 2020-08-26 |
1346859089 | Garnet Transport Medicine, LLC | Clinic/Center | 1000 River St Bldg 900, Essex Junction, VT 05452-4201 | 2020-07-29 |
1972123800 | Melissa Ann Adams | Registered Nurse | 18 Margaret St, Essex Junction, VT 05452-3376 | 2020-04-21 |
1649804402 | Madison Heughins | Behavior Technician | 48 Main St Apt 2, Essex Junction, VT 05452-3126 | 2020-03-02 |
1467082776 | Judith Cabanaw | Registered Nurse | 12 River View Dr, Essex Junction, VT 05452-3855 | 2020-01-26 |
1477190320 | Jordan Hines | Specialist/Technologist | 14 Killoran Dr, Essex Junction, VT 05452-4607 | 2019-12-10 |
1053955773 | Nicholas Grudev | Counselor | 15 Pinecrest Dr # 12, Essex Junction, VT 05452-2912 | 2019-11-06 |
1598316507 | Jeremy Stewart Sibold | Specialist/Technologist | 10 Tyler Dr, Essex Junction, VT 05452-4639 | 2019-09-23 |
1235612169 | Green Mountain Medical Store LLC | Durable Medical Equipment & Medical Supplies | 46 Fox Run Rd, Essex Junction, VT 05452-2653 | 2018-09-06 |
Find all providers in ESSEX JUNCTION |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588112809 | Wal-mart Stores East Lp | Technician/Technologist | 5228 East Main St., Debry, VT 05829-0000 | 2016-09-15 |
1700212982 | Gregory P. Guilmartin | Technician/Technologist | 2989 Shelburne Road, Shelburne, VT 05482 | 2013-09-19 |
1669692786 | Marleigh Helen Mcnealus | Technician/Technologist | 4363 Route 7a, Village Mall, Manchester Center, VT 05255-0567 | 2007-04-30 |
1487874509 | Deborah Ann Rowe Huether | Technician/Technologist | 4368 Route 7a, Village Mall, Manchester Center, VT 05255-0567 | 2007-04-30 |
1659591774 | Manchester Eye Care PC | Technician/Technologist | Village Mall 4363 Rte 7a, Manchester Center, VT 05255 | 2007-04-30 |
1497972657 | Sally D. Elkins | Technician/Technologist | 2989 Shelburne Rd Ste 1, Shelburne, VT 05482-6369 | 2007-04-19 |
1477604569 | Parizo's Spectacle Shoppe, P.C. | Technician/Technologist | 69 Woodstock Ave, Rutland, VT 05701-3535 | 2007-01-15 |
1972519312 | Us Vision Optical Inc | Technician/Technologist | Route 7 & #4, Diamond Run Mall, Rutland, VT 05701 | 2006-07-31 |
1922031012 | Moultons Spectacle Shoppe | Technician/Technologist | 463 Main St, Bennington, VT 05201-2141 | 2006-07-09 |
1457319816 | Rutland Optical Inc | Technician/Technologist | 28 Center St, Rutland, VT 05701-4015 | 2006-05-03 |
Find all providers with the same taxonomy |
City | ESSEX JUNCTION |
Zip Code | 05453 |
Please comment or provide details below to improve the information on MR. ROBERT EDWARD RUSSO.
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.