Gregory Clinton Russell in Kingsport - Optometrist
Gregory Clinton Russell - NPI 1033144225
Gregory Clinton Russell is a Optometrist in Kingsport, Tennessee. Gregory Clinton Russell practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Gregory Clinton Russell is 1033144225. The last update date is 2007-07-09.
Gregory Clinton Russell's current location address is 102 Professional Park Pvt Dr, Kingsport, Tennessee. You can contact this provider via phone number 4232452222 and fax number 4232454822. The mailing address for Gregory Clinton Russell is 102 Professional Park Pvt Dr, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Clinton Russell |
|---|---|
| Address | 102 Professional Park Pvt Dr, Kingsport, Tennessee |
| Phone Number | 4232452222 |
| Fax Number | 4232454822 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1033144225 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 102 Professional Park Pvt Dr |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376632287 |
| Phone Number | 4232452222 |
| Fax Number | 4232454822 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODT1813 |
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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 |
|---|---|---|---|
| 3941713 | TN | -- | |
| 4076931 | TN | BLUE CROSS BLUE SHIELD OF |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gregory Clinton Russell by the Centers for Medicare & Medicaid Services?
The Gregory Clinton Russell has been assigned the NPI (National Provider Identifier) 1033144225 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Gregory Clinton Russell is located?
The Gregory Clinton Russell is situated at the following address: 102 Professional Park Pvt Dr, Kingsport, TN, 376632287.
What is Gregory Clinton Russell's area of expertise and its corresponding taxonomy classification?
The Gregory Clinton Russell's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033144225 to Gregory Clinton Russell?
The Centers for Medicare & Medicaid Services originally issued the 1033144225 to Gregory Clinton Russell on 2006-07-12.
As of what date were the details related to Gregory Clinton Russell most recently updated or revised?
The information pertaining to Gregory Clinton Russell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.