Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Diane M Russo, OD

Individual provider Optometrist · NPI 1174839146

Dr. Diane M Russo, OD is an Optometry in Dorchester, Massachusetts. Graduated from State University of New York - State College Optometry in 2010, 16 years ago. Practices with New England Eye Institute Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
16
Trained at
State University of New York - State College Optometry
Licensed in
CT, MA
In the registry since
2010
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

637 Washington St
Dorchester, MA 02124-3510
Phone: (617) 825-9660
Fax: (617) 288-7898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4926 (MA)
Optometrist Taxonomy 152W00000X · Licence 002810 (CT)

Record details

NPI number1174839146
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 27, 2010
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2010 (16 years in practice)
Group practice New England Eye Institute Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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