DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GREGORY CLINTON RUSSELL, O.D.

Active Sole Proprietor

DR. GREGORY CLINTON RUSSELL, O.D. is a Optometrist healthcare provider located in KINGSPORT, Tennessee. NPI 1033144225 is currently active in the NPPES registry. Verify at CMS.

Optometrist · KINGSPORT, TN

Registration Details

NPI Number
1033144225
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2006 (20.059491739727 yrs)
Last Updated
Jul 9, 2007
License
ODT1813 (TN)
Sole Proprietor
Yes

Practice Information

Address
102 PROFESSIONAL PARK PVT DR
KINGSPORT, TN, 376632287
Browse TN providers · Browse ZIP 37663
Phone
4232452222
Fax
4232454822
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in KINGSPORT, TN

Name Credential NPI
DR. DAVID CORBETT HOLLIMAN O.D. 1649265299
DR. MELISSA MARLO HOLLIMAN O.D. 1043205693
DR. TORREY JON CARLSON O.D. 1053360131
WILLIAM C MCMILLIN OD 1861414088
DR. FRANK L OGLESBY JR. O.D. 1275544041
DR. BARRY B. WATSON O.D. 1841397924
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.