Jonathan Russell in Clackamas - Optometrist
Jonathan Russell - NPI 1558576546
Jonathan Russell is a Optometrist in Clackamas, Oregon. Jonathan Russell practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jonathan Russell is 1558576546. The last update date is 2015-08-19.
Jonathan Russell's current location address is 12100 Se Stevens Ct, Clackamas, Oregon. You can contact this provider via phone number 5033537300. The mailing address for Jonathan Russell is 12100 Se Stevens Ct, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Russell |
|---|---|
| Address | 12100 Se Stevens Ct, Clackamas, Oregon |
| Phone Number | 5033537300 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1558576546 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2015-08-19 |
Provider Mailing Address Detail
| Address | 12100 Se Stevens Ct |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970864707 |
| Phone Number | 5033537300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2838T |
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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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What is the unique identifier code issued to Jonathan Russell by the Centers for Medicare & Medicaid Services (CMS)?
The Jonathan Russell has been assigned the NPI (National Provider Identifier) 1558576546. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jonathan Russell's physical address?
The Jonathan Russell is physically located at 12100 Se Stevens Ct, in the city of Clackamas, OR, with the postal code 970864707.
What is the area of specialization for Jonathan Russell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jonathan Russell is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Jonathan Russell receive its 1558576546 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan Russell was assigned its 1558576546 by the Centers for Medicare & Medicaid Services on 2007-05-11.
As of what date were the Jonathan Russell's details last updated?
The information pertaining to the Jonathan Russell, including its address, specialty, and other details, was most recently updated on 2015-08-19.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN