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

RUSSELL S. FILLMORE, OD

Active

RUSSELL S. FILLMORE, OD is a Optometrist healthcare provider located in MANSFIELD, Ohio. NPI 1306860754 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MANSFIELD, OH

Registration Details

NPI Number
1306860754
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2006 (20.065825021781 yrs)
Last Updated
Jun 30, 2017
Licenses
4193T1387 (OH)
4193T1387 (OH)
4193T1387 (OH)

Practice Information

Address
1164 LEXINGTON AVE
MANSFIELD, OH, 449072254
Browse OH providers · Browse ZIP 44907
Phone
4197560500
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in MANSFIELD, OH

Name Credential NPI
RHONDA BRONSTON RILES O.D. 1952303257
HOLBROOK RILES JR. O.D. 1780686873
DR. JON H COOPERRIDER II O.D. 1730175829
DR. BAIRANJE R NAYAK PHD OD 1265494025
DR. ROBERT MAURICE BRENNER OD 1689629206
DR. RICHARD FOSTER MARQUARDT O.D. 1407801699
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.