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

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
4000 E US HIGHWAY 377, GRANBURY, TX 76049(817) 573-7153(817) 573-5640 Get Directions Write a Review

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Cheyne Eye Center P.A.
Same address
Eyewear Supplier
4000 E US HIGHWAY 377
Granbury, TX 76049
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cheyne Eye Center PA
  • 5 clinicians in this Medicare group
NPI 1821091943 (817) 573-7153

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 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
4000 E US HIGHWAY 377
GRANBURY, TX 76049
Hood County (817) 573-7153
DR. ROBERT BRIAN YEAMAN O.D.
Optometrist
4000 E US HIGHWAY 377
GRANBURY, TX 76049
Hood County (817) 573-7153
JESSICA KENNEY
Optometrist
4000 E US HIGHWAY 377
GRANBURY, TX 76049
Hood County (817) 573-7153
DR. NICOLE CATHERINE STOUT O.D.
Optometrist
4000 E US HIGHWAY 377
GRANBURY, TX 76049
Hood County (817) 573-7153
DR. MANUEL J DEBESA O.D.
Optometrist
4000 E US HIGHWAY 377
GRANBURY, TX 76049
Hood County (817) 573-7153
CHEYNE EYE CENTER P.A.
Eyewear Supplier
4000 E US HIGHWAY 377
GRANBURY, TX 76049
Hood County (817) 573-7153
DR. CHRISTOPHER DAVID CHEYNE O.D.
Optometrist
4000 E US HIGHWAY 377
GRANBURY, TX 76049
Hood County (817) 573-7153

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 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.

Where is Lori Russo located?

Lori Russo practices at 4000 E Us Highway 377, Granbury, TX 76049. The listed phone number is (817) 573-7153.

What is Lori Russo's specialty?

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

Is Lori Russo enrolled in Medicare?

Yes. Lori Russo 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 organization bills Medicare for Lori Russo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Russo reassigns Medicare benefits to Cheyne Eye Center P.A. (Granbury, TX). 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 Lori Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Russo accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Lori Russo 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 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 7 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.