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DR. CLARENCE HENRY RUSSELL III O.D.
NPI 1487643441
Optometrist - Corneal and Contact Management in Valrico, FL

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
3466 LITHIA PINECREST RD, VALRICO, FL 33594(813) 657-3937(813) 661-9009 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Clarence Henry Russell Iii O.d. NPPES

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

DR. CLARENCE HENRY RUSSELL III O.D. (NPI 1487643441) is an individual corneal and contact management provider in Valrico, Florida, licensed in Florida (OPC2807) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1487643441
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. CLARENCE HENRY RUSSELL IIICredential: O.D.
Location Address3466 LITHIA PINECREST RDValrico, FL 33594-6301
Mailing Address3466 Lithia Pinecrest RdValrico, FL 33594-6301 · (813) 657-3937 · Fax (813) 661-9009
Phone(813) 657-3937
Fax(813) 661-9009
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 20, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487643441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in FL · OPC2807
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
3466 LITHIA PINECREST RD, Valrico, FL 33594
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Other Identifiers 2

Medicare UPINU52893FL
Medicare ID-Type Unspecified20538CFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Clarence Henry Russell Iii O.d. 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 ID2769432426
PECOS Enrollment IDI20050131000273
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 Reassignments

2

Medicare enrollment records show Clarence Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eye Doctors Optical Outlets PA
1.9 mi
Optometrist
883 E BLOOMINGDALE AVE
Brandon, FL 33511
  • Reassigned Medicare billing, Florida enrollment
  • 229 clinicians in this Medicare group
NPI 1902097306 (813) 661-1930
Tampa Eye Clinic And Associates PA
16 mi
Ophthalmology
3000 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 25 clinicians in this Medicare group
NPI 1013937861 (813) 877-2020

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

Areas of Expertise CMS Part B claims 3

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services112 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33594 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 Clarence Russell's NPI number?

The NPI number for Clarence Russell is 1487643441. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Clarence Russell located?

Clarence Russell practices at 3466 Lithia Pinecrest Rd, Valrico, FL 33594. The listed phone number is (813) 657-3937.

What is Clarence Russell's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Clarence Russell enrolled in Medicare?

Yes. Clarence 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.

Which organizations bill Medicare for Clarence Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarence Russell reassigns Medicare benefits to 2 organizations: Eye Doctors Optical Outlets PA (Brandon, FL) and Tampa Eye Clinic And Associates PA (Tampa, FL). Each 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 Clarence Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clarence Russell accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 16 other insurers list Clarence 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 Clarence Russell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.