Dr. Richard J Russe, OD
Optometrist in Granby, Connecticut
1669546842- Practice location
- 16 East Granby RD, Granby, CT 06035-2201
- Phone
- 860-653-3008
- Fax
- 860-653-0359
- Last updated
- July 8, 2007
Richard Jon Russe is an Optometrist based in Granby, CT. Richard Jon Russe practices in Granby, CT and has the professional credentials of OD. The NPI Number for Richard Jon Russe is 1669546842 and holds a License No. 787 (CT). The current practice location address for Richard Jon Russe is 16 East Granby RD, Granby, CT 06035-2201 and can be reached out via phone at 860-653-3008 and via fax at 860-653-0359.
Provider Profile Details
- NPI Number
- 1669546842
- Provider Name
- Richard Jon Russe
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 16 East Granby RD, Granby, CT 06035-2201
- Phone Number
- 860-653-3008
- Fax Number
- 860-653-0359
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 20, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 East Granby RD
Granby, CT 06035-2201 - City
- Granby
- State
- Connecticut
- Zip
- 06035-2201
- Phone Number
- 860-653-3008
- Fax Number
- 860-653-0359
Provider Business Mailing Address Details
- Address
- Po Box 359
Granby, CT 06035-2201 - City
- Granby
- State
- CT
- Zip
- 06035-2201
- Phone Number
- 860-653-3008
- Fax Number
- 860-653-0359
License Information
- License Number
- 787
- License State
- CT
- 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 Granby, CT
View all Optometrists in Granby →Frequently Asked Questions
What is the NPI number of Dr. Richard J Russe, OD?
The NPI number of Dr. Richard J Russe, OD is 1669546842. It was assigned on November 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Richard J Russe, OD?
Dr. Richard J Russe, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 787.
Where does Dr. Richard J Russe, OD practice?
The practice location is 16 East Granby RD, Granby, CT 06035-2201. The office can be reached at 860-653-3008 (phone) or 860-653-0359 (fax).
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 1669546842 directly on the NPPES registry website.