Jerrold C Russell is a Columbus, Wisconsin based male Optometrist who is specialized in Optometry. Active license number of Jerrold C Russell is 2029-035 for Optometry in Wisconsin. Jerrold C Russell examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Jerrold C Russell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Male
Practice Address:
1341 Park Ave, Columbus, Wisconsin, 53925-1614
Phone:
920-623-2431
Fax:
920-623-3656
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1679526990
NPI Enumeration Date:
18 May, 2006
NPI Last Update On:
22 Jan, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerrold C Russell are as mentioned below.
License Number
Specialization
State
Status
2029-035
Optometry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jerrold C Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1679526990
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1341 Park Ave, Columbus, Wisconsin
Zip:
53925-1614
Phone Number:
920-623-2431
Fax Number:
920-623-3656
Patients can reach Jerrold C Russell at 1341 Park Ave, Columbus, Wisconsin or can call to book an appointment on 920-623-2431. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Optometrist in Columbus, WI
Jamie L Blavat, OD 7+ yr exp.Speciality: Optometrist Address: 1513 Park Ave Fl 1, WI Phone: 920-623-2431 Fax: 920-623-3656