Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLARENCE HENRY RUSSELL III, O.D.
Active Sole ProprietorDR. CLARENCE HENRY RUSSELL III, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in VALRICO, Florida. NPI 1487643441 is currently active in the NPPES registry. Verify at CMS.
Corneal & Contact Management Optometrist · VALRICO, FL
Registration Details
- NPI Number
- 1487643441
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2005 (20.858598816121 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OPC2807 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3466 LITHIA PINECREST RDVALRICO, FL, 335946301Browse FL providers · Browse ZIP 33594
- Phone
- 8136573937
- Fax
- 8136619009
- Primary Specialty
-
Corneal & Contact Management Optometrist
152WC0802X
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.