| Doctor Name: | JOHN J RUSSO |
| NPI Number: | 1114983442 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OD |
| License Number: | OAO 4698 |
| Business Practice Address: | 10 Schalks Crossing Rd Plainsboro, NJ - 085361612 |
| Business Phone Number: | 6092758989 |
| Business Fax Number: | 6092759327 |
| Mailing Address: | 7 Pannick Dr, HAMILTON |
| State: | NJ |
| Postal Code: | 086101129 |
| Phone Number: | 6095856967 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 08/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | OAO 4698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |