U.S. District Judge Anita Brody said Susan Russell, 46, carried on her fraudulent scheme for 10 years and "wreaked havoc" on Ophthalmic Associates, an ophthalmology practice.

"You had a sense of entitlement that you were entitled to these proceeds," Brody said. She also ordered Russell to make restitution to Ophthalmic of an additional $664,283. (Russell previously repaid more than $327,000.)

Russell apologized yesterday to the doctors and employees of Ophthalmic and said she missed working with them.

Two doctors who work for Ophthalmic testified in court yesterday that Russell was somebody they had trusted but who had kept them in the dark about her fraud. They said the experience almost ruined their medical practice and hardened them.

"This trail of mistrust has changed our view of people and the world we live in," said Dr. Colleen Christian, a pediatric ophthalmologist who has worked for Ophthalmic for 15 years. "What [Russell] really took from us was time. We will never be able to recoup our lost earnings and the time we couldn't spend with our families."

Ophthalmic is financially stable now, one of its doctors said yesterday.

Russell pleaded guilty in February to wire fraud and money laundering.

Authorities said Russell submitted bogus information to the payroll company that handled Ophthalmic's payroll.

During the scheme, which authorities charged began in January 2004 and lasted until October 2007, Russell claimed she worked between 22 and 32 hours a day, seven days a week. (She actually worked in Ophthalmic's office 10 hours a day, four days a week, and some additional hours at home.)

Russell concealed the fraud from Ophthalmic by recording her $45-an-hour income in 17 employment categories in Ophthalmic's financial records when it should have been listed only in the category of "business manager."

At the time, Russell was living in a $1.6 million home in Doylestown. Authorities said she spent fraud proceeds on luxury cars, caring for the home and making tuition payments to Villanova University for her children.

When Ophthalmic's doctors, with whom she socialized, questioned her lifestyle, she told them her husband was the beneficiary of a large trust fund, court papers said.

Assistant U.S. Attorney Louis Lappen said Russell had "acted out of an insatiable greed" to maintain what he called an "artificially" lavish lifestyle.

Defense attorney Sara Webster had sought house arrest for Russell, arguing in court papers that Russell's crime was "financial" and could be remedied in part by permitting Russell to continue to work and pay restitution.

Webster said in court that Russell had demonstrated an "extraordinary" acceptance of responsibility and "post-conduct rehabilitation" (counseling and community service) since being charged by criminal information in January.

Webster also said that Russell provided more value for Ophthalmic than her wages reflected by assuming job responsibilities of some employees who left and were never replaced, an assertion that was disputed in court by one of Ophthalmic's doctors.

Judge Brody ordered Russell to surrender to the Bureau of Prisons on July 27.