Diane Russo O,D,

NPI 1174839146 - Optometrist - 152W00000X

NPI Details
NPI 1174839146
Gender Female
Enumeration Date 08/27/2010
Last Updated 07/05/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
10 LINCOLN SQ
EYE CARE AND VISION CENTER
WORCESTER MA, 01608-1135, US
Phone (508) 373-5826
Fax
Business Location
1923 NORTH RAILROAD AVENUE
STATEN ISLAND NY, 10306, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Connecticut
License Number 002810
Remove 1174839146 NPI Number
 

According to our database, Dr. Diane Russo O,D, NPI is 1174839146, taxonomy code is 152W00000X and license number is 002810, license state is located at Connecticut. Diane Russo O,D, physically located at 10 Lincoln Sq, Worcester MA, 01608-1135. NPI Number Diane Russo O,D, has the Individual type.

Sponsored links

1174839146 NPI number is provided on an as is basis without warranty of any kind. 1174839146 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Russo O,D, are for informational purposes only.