Jon W Russell is a Optometrist in Marengo, Illinois. Jon W Russell practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jon W Russell is 1831177088. The last update date is 2007-07-08.
Jon W Russell's current location address is 205 N State St, Marengo, Illinois. You can contact this provider via phone number 8155686508. The mailing address for Jon W Russell is 205 N State St, Marengo, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon W Russell |
|---|---|
| Address | 205 N State St, Marengo, Illinois |
| Phone Number | 8155686508 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1831177088 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 205 N State St |
|---|---|
| City | Marengo |
| State | Illinois (IL) |
| Post Code | 601522239 |
| Phone Number | 8155686508 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46008174 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46008174 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jon W Russell by the Centers for Medicare & Medicaid Services?
The Jon W Russell has been issued the NPI (National Provider Identifier) 1831177088 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jon W Russell's facilities are geographically located?
The facilities of Jon W Russell are physically situated at the following location: 205 N State St, Marengo, IL, 601522239.
What is Jon W Russell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jon W Russell is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date was the 1831177088 assigned to Jon W Russell?
The Jon W Russell was issued its 1831177088 on 2006-01-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jon W Russell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jon W Russell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.