WILMINGTON EYE GROUP, INC. – Optometrist, NPI 1003226879

WILMINGTON EYE GROUP, INC. is a healthcare provider. based in Somerville, Massachusetts. specializing in Optometrist. The organization holds a License No. 4635 (MA). The NPI Number for WILMINGTON EYE GROUP, INC. is 1003226879

Main info

Organization
Name
WILMINGTON EYE GROUP, INC.
NPI
1003226879
Phone
(617) 623-7522
Address
22 MCGRATH HWY # 4
Authorized Official
DR. ALEX RUSSAKOVSKY PRESIDENT O.D.
Enumeration Date
2 May 2014
Last Update Date
23 October 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for WILMINGTON EYE GROUP, INC.

  • 22 MCGRATH HWY # 4

    PEARLE VISION

    SOMERVILLE, MA 021434508

    Phone: (617) 623-7522

    Type: Mailing

  • 229 MAIN ST

    PEARLE VISION

    WILMINGTON, MA 018872302

    Phone: (978) 658-8890

    Type: Location

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: 2014-09-22

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
O20140922001549OClinic/Group PracticeMATBD

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

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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 02143)

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Reviews

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Frequently asked questions

What unique ID ties claims to WILMINGTON EYE GROUP, INC.?
NPI 1003226879 is assigned to WILMINGTON EYE GROUP, INC. under the national enumeration system.
Is WILMINGTON EYE GROUP, INC.'s NPI currently valid?
The extract we use shows WILMINGTON EYE GROUP, INC. as active.
What does WILMINGTON EYE GROUP, INC. treat or focus on?
Patients typically see WILMINGTON EYE GROUP, INC. under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for WILMINGTON EYE GROUP, INC.?
We surface Somerville, Massachusetts for WILMINGTON EYE GROUP, INC. based on available NPPES addresses.
What if Somerville, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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