DAVID L. RUSSELL (O.D.) – Optometrist, NPI 1578564522

DAVID L. RUSSELL (O.D.) is a healthcare provider. based in Kansas city, Kansas. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 1264-2 (KS). The NPI Number for DAVID L. RUSSELL (O.D.) is 1578564522

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DAVID L. RUSSELL (O.D.)
NPI
1578564522
Phone
(913) 788-3234
Address
1218 NORTH 79TH STREET
Enumeration Date
2 August 2005
Last Update Date
5 November 2011

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9137883234
Graduation Year
1987 (39 years ago)
PAC ID
8123156635
Professional Enrollment ID
I20100504000451
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DAVID L. RUSSELL (O.D.)

  • 1218, North 79th Street, Kansas City, Wyandotte County, Kansas, 66112, United States

    KANSAS CITY, KS 661123308

    Phone: (913) 788-3234

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-05-04

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
I20100504000451IOptometryKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66112)

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Reviews

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Frequently asked questions

Is DAVID L. RUSSELL (O.D.) listed with a National Provider Identifier?
Yes — DAVID L. RUSSELL (O.D.) has NPI 1578564522 on file in the registry.
Would DAVID L. RUSSELL (O.D.) appear as active to a payer?
You can treat DAVID L. RUSSELL (O.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DAVID L. RUSSELL (O.D.)?
DAVID L. RUSSELL (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DAVID L. RUSSELL (O.D.)?
Directory geography for DAVID L. RUSSELL (O.D.) centers on Kansas City, Kansas.
When was this NPI issued?
Enumeration for DAVID L. RUSSELL (O.D.) is noted as August 2, 2005 where the registry provides it.

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