1. Home
  2. Directory
  3. Wisconsin
  4. Columbus
  5. Optometrist
  6. NPI Profile

JERROLD C RUSSELL OD
NPI 1679526990
Optometrist in Columbus, WI

Active since May 18, 2006
1341 PARK AVE, COLUMBUS, WI 53925(920) 623-2431(920) 623-3656 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2016, Nov 17, 2015 (2 updates tracked since 2015).

About Jerrold C Russell Od NPPES

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

JERROLD C RUSSELL OD (NPI 1679526990) is an individual optometrist in Columbus, Wisconsin, licensed in Wisconsin (2029-035) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1679526990
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJERROLD C RUSSELLCredential: OD
Location Address1341 PARK AVEColumbus, WI 53925-1614
Mailing Address1341 Park AveColumbus, WI 53925-1614 · (920) 623-2431 · Fax (920) 623-3656
Phone(920) 623-2431
Fax(920) 623-3656
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 22, 20162 updates tracked since enumeration
✔ NPI 1679526990 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 WI · 2029-035
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.
1341 PARK AVE, Columbus, WI 53925
Open in Google Maps ↗

Other Identifiers 3

Medicare PINK400176695WI
Medicare PIN410044529WI
Medicaid1679526990WI

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
31%29 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
56%62 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
16%63 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
47%36 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Jerrold Russell's NPI number?

The NPI number for Jerrold Russell is 1679526990. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Jerrold Russell located?

Jerrold Russell practices at 1341 Park Ave, Columbus, WI 53925. The listed phone number is (920) 623-2431.

What is Jerrold Russell's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerrold Russell was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.