Kevin Joseph Russell in Queen Creek - Optometrist
Kevin Joseph Russell - NPI 1194905257
Kevin Joseph Russell is a Optometrist in Queen Creek, Arizona. Kevin Joseph Russell practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kevin Joseph Russell is 1194905257. The last update date is 2018-04-24.
Kevin Joseph Russell's current location address is 23490 S. 201st St., Queen Creek, Arizona. You can contact this provider via phone number 4802458929 and fax number 4805070836. The mailing address for Kevin Joseph Russell is 23490 S. 201st St., Queen Creek, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Joseph Russell |
|---|---|
| Address | 23490 S. 201st St., Queen Creek, Arizona |
| Phone Number | 4802458929 |
| Fax Number | 4805070836 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1194905257 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2018-04-24 |
Provider Mailing Address Detail
| Address | 23490 S. 201st St. |
|---|---|
| City | Queen Creek |
| State | Arizona (AZ) |
| Post Code | 85142 |
| Phone Number | 4802458929 |
| Fax Number | 4805070836 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 779 |
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Definition: 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 |
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Post Comment/ Review Below
What is the Kevin Joseph Russell's unique identification number?
The Kevin Joseph Russell has been assigned the NPI (National Provider Identifier) Number 1194905257 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Kevin Joseph Russell is physically located?
The Kevin Joseph Russell is situated at the following address: 23490 S. 201St St., Queen Creek, AZ 85142.
What is Kevin Joseph Russell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Joseph Russell's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194905257 to Kevin Joseph Russell?
The Kevin Joseph Russell received its 1194905257 assignment from the Centers for Medicare & Medicaid Services on 2007-11-06.
As of what date were the details related to Kevin Joseph Russell most recently updated or revised?
The information pertaining to Kevin Joseph Russell, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-24.
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