Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSS IPPOLITO, RDO
Active Sole ProprietorMR. RUSS IPPOLITO, RDO is a Optician, Dispensing healthcare provider located in PLACENTIA, California. NPI 1902073786 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · PLACENTIA, CA
Registration Details
- NPI Number
- 1902073786
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2008 (18.289668057425 yrs)
- Last Updated
- May 12, 2008
- License
-
D6954 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 E ORANGETHORPE AVESUITE CPLACENTIA, CA, 928706507Browse CA providers · Browse ZIP 92870
- Phone
- 7145728301
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.