John J Russo
Optomitrist - Corneal and Contact Lenses
10 Schalks Crossing Rd
Plainsboro
, New Jersey 08536-1612
John J Russo
Optomitrist - Corneal and Contact Lenses
10 Schalks Crossing Rd
Plainsboro
, New Jersey 08536-1612
(609) 585-6967
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- John J Russo
- 7 Pannick Dr
- Hamilton, NJ
- Zip : 08610-1129
- Phone : (609) 585-6967
Second Address
- John J Russo
- 10 Schalks Crossing Rd
- Plainsboro, NJ
- Zip : 08536-1612
- Fax : (609) 275-9327
- Phone : (609) 275-8989
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OAO 4698 | NJ |
National Provider Identifier
| NPI | 1114983442 |
|---|---|
| Provider Name | John J Russo |
| First Address | Hamilton, NJ 08610-1129 |
| Second Address | Plainsboro, NJ 08536-1612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2006 |
| Last Update Date | 08/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0641930001 | MEDICARE NSC (01) | NJ |
| U50663 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.