Dr. Alex Russakovsky, OD
Optometrist in Somerville, Massachusetts
1366634792- Practice location
- 22 Mcgrath Hwy, Pearle Vision, Somerville, MA 02143-4508
- Phone
- 617-623-7522
- Fax
- —
- Last updated
- June 27, 2024
Alex Russakovsky is an Optometrist based in Somerville, MA. Alex Russakovsky practices in Somerville, MA and has the professional credentials of OD. The NPI Number for Alex Russakovsky is 1366634792 and holds a License No. 4635 (MA). The current practice location address for Alex Russakovsky is 22 Mcgrath Hwy, Pearle Vision, Somerville, MA 02143-4508 and can be reached out via phone at 617-623-7522.
Provider Profile Details
- NPI Number
- 1366634792
- Provider Name
- Alex Russakovsky
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 22 Mcgrath Hwy, Pearle Vision, Somerville, MA 02143-4508
- Phone Number
- 617-623-7522
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 9, 2007
- Last Update Date
- June 27, 2024
- Certification Date
- June 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Mcgrath Hwy
Pearle Vision
Somerville, MA 02143-4508 - City
- Somerville
- State
- Massachusetts
- Zip
- 02143-4508
- Phone Number
- 617-623-7522
Provider Business Mailing Address Details
- Address
- 22 Mcgrath Hwy
# 4
Somerville, MA 02143-4508 - City
- Somerville
- State
- MA
- Zip
- 02143-4508
- Phone Number
- 617-285-4575
License Information
- License Number
- 4635
- License State
- MA
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Somerville, MA
View all Optometrists in Somerville →Frequently Asked Questions
What is the NPI number of Dr. Alex Russakovsky, OD?
The NPI number of Dr. Alex Russakovsky, OD is 1366634792. It was assigned on August 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Alex Russakovsky, OD?
Dr. Alex Russakovsky, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 4635.
Where does Dr. Alex Russakovsky, OD practice?
The practice location is 22 Mcgrath Hwy, Pearle Vision, Somerville, MA 02143-4508. The office can be reached at 617-623-7522 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366634792 directly on the NPPES registry website.