Jerrold C Russell OD

  • NPI 1679526990
According to our database, the NPI number for Jerrold C Russell OD is 1679526990 and activated since 17 years ago. Jerrold C Russell OD is an individual provider who specializes in Optometrist, and the primary practice location is 1341 Park Ave, Columbus, WI 53925. You can also contact Jerrold C Russell OD via telephone number is (920) 623-2431. Provider NPI information was last updated on 01/22/2016.

Recently Active NPIs

Overview of Jerrold C Russell OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/18/2006
  • Last updated: 01/22/2016

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2029-035
  • License State: WI

Provider Mailing Address

  • Address: 1341 Park Ave
    Columbus, WI 53925
  • Phone: 920-623-2431
  • Fax: 920-623-3656

Provider Practice Location

  • Address: 1341 Park Ave
    Columbus, WI 53925
  • Phone: 920-623-2431
  • Fax: 920-623-3656

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2029-035
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1679526990
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerrold C Russell OD?
  • A: The npi number for Jerrold C Russell OD is 1679526990.
  • Q: What are Jerrold C Russell OD's specialties?
  • A: Jerrold C Russell OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for Jerrold C Russell OD?
  • A: The medical license number for Jerrold C Russell OD is 2029-035 and issued in WI in USA.
  • Q: Where is Jerrold C Russell OD practice location?
  • A: Jerrold C Russell OD is practicing at 1341 Park Ave, Columbus, WI 53925.
  • Q: How to contact Jerrold C Russell OD?
  • A: You can contact Jerrold C Russell OD via 920-623-2431.