DR. RUSSELL STEVEN LAKE O.D.
NPI 1720603392
Optometrist in East Wenatchee, WA
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
Specialties & Licenses
Accepted 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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Russell Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moses Lake, WA 98837
- Reassigned Medicare billing, Washington enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
WENATCHEE, WA 98802
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.
Which organization bills Medicare for Russell Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Russell Lake reassigns Medicare benefits to Valley Eye And Vision Clinic PLLC (Moses Lake, WA). 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 Russell Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Russell Lake accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Premera Blue Cross Blue Shield of Alaska and 1 other insurer 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.
# Dr. Russell Steven Lake, O.D. · NPI 1720603392
Optometrist provider in East Wenatchee, Washington. Individual provider, active in the CMS NPPES registry since June 10, 2020.
## Identity
- **NPI:** 1720603392 (Entity type: Individual)
- **Enumerated:** June 10, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 61042825 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 375 HIGHLINE DR, East Wenatchee, WA 98802-5344
- **Phone:** (509) 886-0924
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Valley Eye And Vision Clinic PLLC (NPI 1881236909, Moses Lake, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2019
## Record status
- **NPPES last updated:** June 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1720603392) · Data from the CMS NPPES public registry.