DR. CLARENCE HENRY III RUSSELL (O.D.) – Corneal and Contact Management Optometrist, NPI 1487643441

DR. CLARENCE HENRY III RUSSELL (O.D.) is a healthcare provider. based in Valrico, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC2807 (FL). The NPI Number for DR. CLARENCE HENRY III RUSSELL (O.D.) is 1487643441

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLARENCE HENRY III RUSSELL (O.D.)
NPI
1487643441
Phone
(813) 657-3937
Address
3466 LITHIA PINECREST RD
Enumeration Date
20 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8133211875
Graduation Year
1994 (32 years ago)
PAC ID
2769432426
Group Practice PAC ID
8123928868
Professional Enrollment ID
I20050131000273
Address ID
FL336298608TA3643XHWYX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for DR. CLARENCE HENRY III RUSSELL (O.D.)

  • Valrico Medical Clinic, 1111, Lithia Pinecrest Road, Brandon, Hillsborough County, Florida, 33511, United States

    VALRICO, FL 335946301

    Phone: (813) 657-3937

    Fax: (813) 661-9009

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($86).

Total Amount

$186

General + Research + Ownership

Payments

6

Total payment records

General Amount

$186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050131000273IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes100100$0
99213Established patient office or other outpatient visit, 20-29 minutes8064$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
View full utilization report →

Insurance plans in this area (ZIP 33594)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123928868View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Does DR. CLARENCE HENRY III RUSSELL (O.D.) have a public NPI I can cite?
Public records show DR. CLARENCE HENRY III RUSSELL (O.D.) under NPI 1487643441.
Should I treat DR. CLARENCE HENRY III RUSSELL (O.D.) as an active provider?
Patients and plans typically see DR. CLARENCE HENRY III RUSSELL (O.D.) as active in the national extract.
What services align with DR. CLARENCE HENRY III RUSSELL (O.D.)'s listing?
DR. CLARENCE HENRY III RUSSELL (O.D.)'s public classification highlights Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. CLARENCE HENRY III RUSSELL (O.D.)?
DR. CLARENCE HENRY III RUSSELL (O.D.) is associated with Valrico, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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