Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAM O RUSSELL III, OD
Active Sole ProprietorDR. SAM O RUSSELL III, OD is a Optometrist healthcare provider located in FLORENCE, South Carolina. NPI 1063479111 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FLORENCE, SC
Registration Details
- NPI Number
- 1063479111
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2006 (20.10231236171 yrs)
- Last Updated
- Apr 24, 2008
- License
-
601 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
240 W EVANS STFLORENCE, SC, 295013428Browse SC providers · Browse ZIP 29501
- Phone
- 8436623278
- Fax
- 8436676090
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FLORENCE, SC
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID MARTIN ANDREWS | OD | 1669465084 |
| CHARLES A WILFONG | OD | 1942267968 |
| DR. ROBERT BRIAN WALLACE | O.D. | 1609819952 |
| DR. RONALD CRAIG BROWN SR. | O.D. | 1275558322 |
| DR. MARK DOUGLAS ROBERTSON | O.D. | 1134294937 |
| DR. ROBERT E. REID | O.D. | 1437224631 |
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.