VISION SOURCE
NPI 1700076643
Optometrist in Evanston, WY

Q: What is David R Russell Od's NPI number?

The NPI number for David R Russell Od is 1700076643. It was assigned to this organization in the NPPES registry on July 26, 2007. The provider is doing business as Vision Source and Accurate Eye Care.

Q: What is David R Russell Od's specialty?

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

Active since July 26, 2007

720 6TH ST, EVANSTON, WY 82930(307) 789-1500(307) 789-0077 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Vision Source NPPES

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

VISION SOURCE (NPI 1700076643) is a healthcare organization registered as an optometrist in Evanston, Wyoming and active in the NPI registry since July 2007. The organization lists David R Russell, President, as its authorized official.

NPPES Registry Identity

NPI1700076643

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDAVID R RUSSELL OD

Location Address720 6TH STEvanston, WY 82930

Mailing Address916 Main StEvanston, WY 82930-3441 · (307) 789-1500 · Fax (307) 789-0077

Phone(307) 789-1500

Fax(307) 789-0077

Organization SubpartNo

Authorized OfficialDavid R RussellPresident · (307) 789-1500

Enumeration DateJuly 26, 2007

Last NPPES UpdateAugust 2, 2018

✔ NPI 1700076643 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 WY · 293T

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.

720 6TH ST, Evanston, WY 82930

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Other Names 2

Doing Business AsVision Source

Doing Business AsAccurate Eye Care

Other Identifiers 1

Medicaid121954500WY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vision Source is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vision Source, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Russell, O.D.

Optometry

NPI 1992898894

720 6TH ST
Evanston, WY 82930

(307) 789-1500

✔ PECOS✔ Accepts MedicareSame address

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

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 David R Russell Od's NPI number?

The NPI number for David R Russell Od is 1700076643. It was assigned to this organization in the NPPES registry on July 26, 2007. The provider is doing business as Vision Source and Accurate Eye Care.

Where is David R Russell Od located?

David R Russell Od is located at 720 6th St, Evanston, WY 82930. The listed phone number is (307) 789-1500.

What is David R Russell Od's specialty?

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

Is David R Russell Od enrolled in Medicare?

Yes. David R Russell Od is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David R Russell Od?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to David R Russell Od. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does David R Russell Od accept?

Health plans from Blue Cross Blue Shield of Wyoming list David R Russell Od 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 David R Russell Od was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.