JOSHUA ALLAN RUSSELL (OD) – Optometrist, NPI 1801637244

JOSHUA ALLAN RUSSELL (OD) is a healthcare provider. based in Leavenworth, Kansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3277 (OK). The NPI Number for JOSHUA ALLAN RUSSELL (OD) is 1801637244

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA ALLAN RUSSELL (OD)
NPI
1801637244
Phone
(913) 682-2929
Address
2301 10TH AVE
Enumeration Date
31 May 2024
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9136822929
Graduation Year
2024 (2 years ago)
PAC ID
8325542400
Group Practice PAC ID
5890747711
Professional Enrollment ID
I20250920000646
Address ID
KS660484214LE2301XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:2State licenses:3Digital endpointsOther names

532 OPTOMETRY in KS

Provider Addresses for JOSHUA ALLAN RUSSELL (OD)

  • 2301 10TH AVE

    LEAVENWORTH, KS 660484214

    Phone: (913) 682-2929

    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: 2025-09-20

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
I20250920000646IOptometryKSTBD

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 66048)

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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: 5890747711View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P T O M E T R YMN
O P T O M E T R YNE
O P T O M E T R YWI
O P T O M E T R YKS

Reviews

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Frequently asked questions

How do I look up JOSHUA ALLAN RUSSELL (OD) by NPI?
Use NPI 1801637244 when you need to reference JOSHUA ALLAN RUSSELL (OD) in forms, claims, or directories.
Is JOSHUA ALLAN RUSSELL (OD)'s NPI currently valid?
The extract we use shows JOSHUA ALLAN RUSSELL (OD) as active.
What kind of provider is JOSHUA ALLAN RUSSELL (OD)?
The page reflects Optometrist for JOSHUA ALLAN RUSSELL (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for JOSHUA ALLAN RUSSELL (OD)?
The page summarizes Leavenworth, Kansas for JOSHUA ALLAN RUSSELL (OD); expand the address list for detail.
Is JOSHUA ALLAN RUSSELL (OD) a real provider?
This page reflects official NPPES data for NPI 1801637244. Always confirm identity and privileges with the practice and licensing boards.

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