Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON W RUSSELL, O.D.
ActiveDR. JON W RUSSELL, O.D. is a Optometrist healthcare provider located in MARENGO, Illinois. NPI 1831177088 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MARENGO, IL
Registration Details
- NPI Number
- 1831177088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2006 (20.422660308153 yrs)
- Last Updated
- Jul 8, 2007
- License
-
046008174 (IL)
Practice Information
- Address
-
205 N STATE STMARENGO, IL, 601522239Browse IL providers · Browse ZIP 60152
- Phone
- 8155686508
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in MARENGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL ALLEN MARNUL | O.D. | 1447220470 |
| DR. MICHAEL WILLIAM THOMAS | O.D. | 1679539993 |
| JAVIER RAMIRO RODRIGUEZ | OD | 1275056236 |
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.