1. Home
  2. Directory
  3. Florida
  4. The Villages
  5. Optometrist
  6. NPI Profile

DR. JAMES RUSSELL O.D.
NPI 1124351937
Optometrist in The Villages, FL

Active since September 10, 2009PECOS Enrolled
2478 BURNSED BLVD # 466-A, THE VILLAGES, FL 32163(352) 399-5412 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Russell O.d. NPPES

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

DR. JAMES RUSSELL O.D. (NPI 1124351937) is an individual optometrist in The Villages, Florida, licensed in Florida (OPC4461) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124351937
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES RUSSELLCredential: O.D.
Location Address2478 BURNSED BLVD # 466-AThe Villages, FL 32163-2702
Mailing Address1774 Windsorbrooke DrMarietta, GA 30062-4831
Phone(352) 399-5412
Sole ProprietorNo
Enumeration DateSeptember 10, 2009
Last NPPES UpdateApril 21, 2017
✔ NPI 1124351937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in FL · OPC4461✔ Licensed in GA · OPT2551
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.
2478 BURNSED BLVD # 466-A, The Villages, FL 32163
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Russell O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show James Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

James Russell Od PA
0.1 mi
Optometrist
2478 BURNSED BLVD
The Villages, FL 32163
  • Reassigned Medicare billing, Florida enrollment
NPI 1891593950 (352) 399-5412

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32163 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 James Russell's NPI number?

The NPI number for James Russell is 1124351937. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is James Russell located?

James Russell practices at 2478 Burnsed Blvd # 466-A, The Villages, FL 32163. The listed phone number is (352) 399-5412.

What is James Russell's specialty?

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

Is James Russell enrolled in Medicare?

Yes. James Russell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Russell reassigns Medicare benefits to James Russell Od PA (The Villages, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Russell was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.