DR. KURT RUSSELL O.D.
NPI 1710100532
Optometrist - Corneal and Contact Management in Mill Creek, WA

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
15808 MILL CREEK BLVD, SUITE 110, MILL CREEK, WA 98012(425) 745-5650 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kurt Russell O.d. NPPES

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

DR. KURT RUSSELL O.D. (NPI 1710100532) is an individual corneal and contact management provider in Mill Creek, Washington, licensed in Washington (3800) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2001).

NPPES Registry Identity

NPI1710100532
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. KURT RUSSELLCredential: O.D.
Location Address15808 MILL CREEK BLVD, SUITE 110Mill Creek, WA 98012-1500
Mailing Address13024 Ne 121st Ln, Apt. H-406Kirkland, WA 98034-8045
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2001
Enumeration DateApril 10, 2007
Last NPPES UpdateMarch 6, 2014
NPI 1710100532 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 WA · 3800
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.
15808 MILL CREEK BLVD, Mill Creek, WA 98012

Accepted 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. Kurt Russell 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 ID8426294281
PECOS Enrollment IDI20130423000444
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.

Areas of Expertise CMS Part B claims 6

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.
40 services35 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
39 services36 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
35 services35 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.
35 services21 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
21 services14 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98012 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 14

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

Advanced Practice Midwife
15808 MILL CREEK BLVD, STE 200
MILL CREEK, WA 98012
Obstetrics & Gynecology
15808 MILL CREEK BLVD, SUITE #200
MILL CREEK, WA 98012
Optometrist
15808 MILL CREEK BLVD, SUITE #110
MILL CREEK, WA 98012
Obstetrics & Gynecology
15808 MILL CREEK BLVD, SUITE 200
MILL CREEK, WA 98012
Dentist (Endodontics)
15808 MILL CREEK BLVD, 202
MILL CREEK, WA 98012
Physical Therapist
15808 MILL CREEK BLVD
MILL CREEK, WA 98012
Optometrist
15808 MILL CREEK BLVD, SUITE 110
MILL CREEK, WA 98012
Dentist (General Practice)
15808 MILL CREEK BLVD, SUITE 130
MILL CREEK, WA 98012

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 Kurt Russell's NPI number?

The NPI number for Kurt Russell is 1710100532. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Kurt Russell located?

Kurt Russell practices at 15808 Mill Creek Blvd Suite 110, Mill Creek, WA 98012. The listed phone number is (425) 745-5650.

What is Kurt Russell's specialty?

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

Is Kurt Russell enrolled in Medicare?

Yes. Kurt 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.

What insurance does Kurt Russell accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Kurt 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 Kurt Russell was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.