DR. LORI LEIGH RUSSO O.D. - NPI 1700971637 - Optometrist in Granbury, TX

Q: What is Lori Russo's NPI number?

The NPI number for Lori Russo is 1700971637. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Lori Russo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lori Russo was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

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About Dr. Lori Leigh Russo O.d. NPPES

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

DR. LORI LEIGH RUSSO O.D. (NPI 1700971637) is an individual optometrist in Granbury, Texas, licensed in Texas (6416TG) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2003).

NPPES Registry Identity

NPI1700971637

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. LORI LEIGH RUSSOCredential: O.D.

Location Address4000 E US HIGHWAY 377Granbury, TX 76049-7432

Mailing Address4000 E Us Highway 377Granbury, TX 76049-7432 · (817) 573-7153 · Fax (817) 573-5640

Phone(817) 573-7153

Fax(817) 573-5640

Sole ProprietorNo

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2003

Enumeration DateOctober 4, 2006

Last NPPES UpdateMarch 2, 2026

NPPES CertifiedMarch 2, 2026

✔ NPI 1700971637 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 TX · 6416TG

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.

4000 E US HIGHWAY 377, Granbury, TX 76049

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Lori Leigh Russo 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 ID3779485768

PECOS Enrollment IDI20040121000690

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76049 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 7

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

DR. COURTNEY CHEYNE COBBS OD

Optometrist