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

Dr. Simon R Russin, DO

Individual provider Ophthalmology Physician · NPI 1407852049

Dr. Simon R Russin, DO is an Ophthalmology in Bala Cynwyd, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
32
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

301 E City Ave Ste G2
Bala Cynwyd, PA 19004-1708
Phone: (610) 617-4177
Fax: (610) 617-4170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence OS009908L (PA)

Record details

NPI number1407852049
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 27, 2005
Last updated in NPPESMay 31, 2011
Mailing address301 E City Ave, Suite G2, Bala Cynwyd, PA 19004-1708

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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