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Active NPI 1306860754 Individual Practitioner Male Practitioner

Dr. Russell S. Fillmore , OD

Optometrist • Mansfield, OH

Professional Overview & Biography Verified Profile Summary

Dr. Russell Fillmore, OD is a registered healthcare professional specializing in Optometrist in Mansfield, OH. Practice services are available at 1164 LEXINGTON AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1164 Lexington Ave

Mansfield, OH 449072254

Telephone 4197560500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mansfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
20 Specialists

Practicing in Mansfield, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
61 61 $165.00 $116.91
92250 Photography of the retina
26 26 $74.69 $34.35
92012 Established patient problem focused exam of visual system
24 20 $142.01 $82.47

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4193T1387

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.

Optometrist - Pediatrics

NUCC Taxonomy Code: 152WP0200X

State License OH 4193T1387

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Optometrist - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License OH 4193T1387

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0811607 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1245527654

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active June 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2017

Registered at 1164 LEXINGTON AVE, MANSFIELD, OH 449072254 (Tel: 4197560500)

📍
Updated Business Mailing Address June 30, 2017

Registered at 1164 LEXINGTON AVE, MANSFIELD, OH 449072254 (Tel: 4197560500)

👤
Provider Name / Credentials Updated June 30, 2017

Recorded as RUSSELL FILLMORE, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2017

Optometrist (License #4193T1387 in OH)

NPI Profile Active April 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2014

Registered at 1164 LEXINGTON AVE, MANSFIELD, OH 449072254 (Tel: 4197560500)

📍
Updated Business Mailing Address April 08, 2014

Registered at 1164 LEXINGTON AVE, MANSFIELD, OH 449072254 (Tel: 4197560500)

👤
Provider Name / Credentials Updated April 08, 2014

Recorded as RUSSELL FILLMORE, LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2014

Optometrist (License #4193T1387 in OH)

🟢
Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306860754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: June 30, 2017
Sole Proprietor: No

Mailing Address

1164 Lexington Ave

Mansfield, OH 449072254

Phone: 4197560500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.