DR. JOSEPH RUSSO, O.D.

Optometrist

Active Individual
NPI: 1114903218

Practice Address

364 MAINE MALL RD STE F128
South Portland, ME 04106

Phone: (207) 383-3456

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes OPT1037 (ME)

Frequently Asked Questions

NPI 1114903218 is the National Provider Identifier for DR. JOSEPH RUSSO, O.D., a Optometrist provider located in South Portland, ME. This NPI was enumerated on December 20, 2005.
DR. JOSEPH RUSSO, O.D. practices at 364 MAINE MALL RD STE F128, South Portland, ME 04106.

Quick Facts

NPI
1114903218
Type
Individual
Enumerated
Dec 20, 2005
Last Updated
Jun 29, 2022

Nearby Providers