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PETER ANTHONY RUSSO OD
NPI 1790759694
Optometrist in Maywood, IL

Active since February 15, 2006PECOS Enrolled
2160 S 1ST AVE, (17W740 22ND STEERT, OAKBROOK TERRACE, IL. 60181), MAYWOOD, IL 60153(630) 627-7399(630) 627-7079 Get Directions Write a Review

NPPES record last updated: March 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Anthony Russo Od NPPES

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

PETER ANTHONY RUSSO OD (NPI 1790759694) is an individual optometrist in Maywood, Illinois, licensed in Illinois (46008021) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790759694
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePETER ANTHONY RUSSOCredential: OD
Location Address2160 S 1ST AVE, (17W740 22ND STEERT, OAKBROOK TERRACE, IL. 60181)Maywood, IL 60153
Mailing Address2160 S 1st Ave, (17w740 22nd Steert, Oakbrook Terrace, Il. 60181)Maywood, IL 60153 · (630) 627-7399 · Fax (630) 627-7079
Phone(630) 627-7399
Fax(630) 627-7079
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMarch 4, 2010
✔ NPI 1790759694 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 IL · 46008021
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.
2160 S 1ST AVE, Maywood, IL 60153
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Other Identifiers 4

Medicare UPINU07594
Medicaid46008021IL
Medicare ID-Type Unspecified484060IL
Medicare ID-Type Unspecified205766IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Anthony Russo Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60153 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 20

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

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

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 Peter Russo's NPI number?

The NPI number for Peter Russo is 1790759694. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Peter Russo located?

Peter Russo practices at 2160 S 1st Ave (17w740 22nd Steert, Oakbrook Terrace, Il. 60181), Maywood, IL 60153. The listed phone number is (630) 627-7399.

What is Peter Russo's specialty?

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

Is Peter Russo enrolled in Medicare?

Yes. Peter Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Russo was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.