Peter Russo, OD
NPI 1790759694 · Optometrist · Maywood, IL
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peter Russo, OD is a Optometrist provider in Maywood, IL (NPI 1790759694).
Provider details
- NPI number
- 1790759694
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 46008021 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2010-03-04
Frequently asked questions
- What is Peter Russo's NPI number?
- Peter Russo's National Provider Identifier (NPI) is 1790759694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Russo's specialty?
- Peter Russo is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Peter Russo located?
- Peter Russo's practice location on file with NPPES is 2160 S 1st Ave, Maywood, IL 60153.
- What is Peter Russo's phone number?
- The practice phone number listed in the NPPES registry for Peter Russo is (630) 627-7399.
- Does Peter Russo accept Medicare?
- Peter Russo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Peter Russo's NPI active?
- Yes — Peter Russo's NPI (1790759694) is active in the NPPES registry as of the last update on 2010-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.