Joseph a Russo OD, PC
Joseph a Russo OD, PC is an Optometrist in South Portland, Maine. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
364 Maine Mall Rd Ste F128South Portland, ME 04106-3206
Phone: (207) 383-3456
Fax: (207) 383-3409
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X |
|---|
Record details
| NPI number | 1881335792 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Russo — Owner Optometrist · (207) 383-3456 |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | June 29, 2022 |
| Certification date | June 29, 2022 |
| Mailing address | 364 Maine Mall Rd Ste F128, South Portland, ME 04106-3206 |
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