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DR. SAM O RUSSELL III OD
NPI 1063479111
Optometrist in Florence, SC

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
240 W EVANS ST, FLORENCE, SC 29501(843) 662-3278(843) 667-6090 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sam O Russell Iii Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAM O RUSSELL III OD (NPI 1063479111) is an individual optometrist in Florence, South Carolina, licensed in South Carolina (601) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1063479111
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAM O RUSSELL IIICredential: OD
Location Address240 W EVANS STFlorence, SC 29501-3428
Mailing Address240 W Evans StFlorence, SC 29501-3428 · (843) 662-3278 · Fax (843) 667-6090
Phone(843) 662-3278
Fax(843) 667-6090
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateMay 1, 2006
Last NPPES UpdateApril 24, 2008
✔ NPI 1063479111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in SC · 601
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
240 W EVANS ST, Florence, SC 29501
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Other Identifiers 4

Medicare UPINT23975SC
Medicare NSC0635910001SC
Medicare PINT239750281SC
MedicaidD06018SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sam O Russell Iii Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254445406
PECOS Enrollment IDI20111017000033
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSSELL EYECARE
Eyewear Supplier
240 W EVANS ST
FLORENCE, SC 29501
Florence County (843) 662-3278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Russell's NPI number?

The NPI number for Sam Russell is 1063479111. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Sam Russell located?

Sam Russell practices at 240 W Evans St, Florence, SC 29501. The listed phone number is (843) 662-3278.

What is Sam Russell's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sam Russell enrolled in Medicare?

Yes. Sam Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sam Russell accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Sam Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sam Russell was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.