OrganizationActive
Russ Uptown Optical Inc
NPI 1548483639 · Optician · Des Moines, IA
Provider details
- NPI number
- 1548483639
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Douglas Mentzer, President(515) 279-3189
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4122 University Ave
Des Moines, IA 50311-3533
Phone: (515) 279-3189
Fax: (515) 279-3956
Street-level locationGet directions
Mailing address
4122 University Ave
Des Moines, IA 50311-3533
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2012-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.