DR. RUSSELL STEVEN LAKE O.D.
NPI 1720603392
Optometrist in East Wenatchee, WA

Q: What is Russell Lake's NPI number?

The NPI number for Russell Lake is 1720603392. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Q: What is Russell Lake'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 Russell Lake was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 10, 2020PECOS EnrolledAccepts Medicare Assignment

375 HIGHLINE DR, EAST WENATCHEE, WA 98802(509) 886-0924 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Russell Steven Lake O.d. NPPES

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

DR. RUSSELL STEVEN LAKE O.D. (NPI 1720603392) is an individual optometrist in East Wenatchee, Washington, licensed in Washington (61042825) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2019).

NPPES Registry Identity

NPI1720603392

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. RUSSELL STEVEN LAKECredential: O.D.

Location Address375 HIGHLINE DREast Wenatchee, WA 98802-5344

Mailing Address375 Highline DrEast Wenatchee, WA 98802-5344 · (509) 886-0924

Phone(509) 886-0924

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2019

Enumeration DateJune 10, 2020

NPPES CertifiedJune 10, 2020

✔ NPI 1720603392 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 WA · 61042825

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.

375 HIGHLINE DR, East Wenatchee, WA 98802

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Russell Steven Lake 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 ID9739534348

PECOS Enrollment IDI20231017000336

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 2

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.

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

42 services42 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98802 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 10

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

COSTCO WHOLESALE CORPORATION

Eyewear Supplier

375 HIGHLINE DR
EAST WENATCHEE, WA 98802

Douglas County (509) 886-0593

ROGER BARNHART PHARMD

Pharmacist

375 HIGHLINE DR
EAST WENATCHEE, WA 98802

Douglas County (509) 886-0754

JAY MUSSON O.D.

Optometrist

375 HIGHLINE DR
E WENATCHEE, WA 98802

Douglas County (509) 886-0924

RODNEY EUGENE AMES RPH

Pharmacist

375 HIGHLINE DR
EAST WENATCHEE, WA 98802

Douglas County (509) 886-0754

COSTCO WHOLESALE CORPORATION

Pharmacy (Community/Retail Pharmacy)

375 HIGHLINE DR
WENATCHEE, WA 98802

Douglas County (509) 886-0754

DORTHEA K HUBER O.D.

Optometrist

375 HIGHLINE DR
EAST WENATCHEE, WA 98802

Douglas County (509) 886-0924

ROSS JAMES CROLLARD RPH

Pharmacist

375 HIGHLINE DR
E WENATCHEE, WA 98802

Douglas County (509) 886-0754

COSTCO WHOLESALE CORPORATION

Hearing Aid Equipment

375 HIGHLINE DR
EAST WENATCHEE, WA 98802

Douglas County (509) 886-2119

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 Russell Lake's NPI number?

The NPI number for Russell Lake is 1720603392. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Russell Lake located?

Russell Lake practices at 375 Highline Dr, East Wenatchee, WA 98802. The listed phone number is (509) 886-0924.

What is Russell Lake's specialty?

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

Is Russell Lake enrolled in Medicare?

Yes. Russell Lake 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 Russell Lake 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, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Russell Lake 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 Russell Lake was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.