Individual
DR. DIANE M RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002810
CT
152W00000X
Optometrist
Primary
4926
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101577A
—
MA
Enumeration date
08/27/2010
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us