Dr. Gregory Clinton Russell is a Kingsport, Tennessee based male Optometrist with 27 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 1997. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Gregory Clinton Russell is ODT1813 for Optometry in Tennessee. Dr. Gregory Clinton 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:
Dr. Gregory Clinton 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:
O.D.
Experience:
27+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
1997
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
102 Professional Park Pvt Dr, Kingsport, Tennessee, 37663-2287
Phone:
423-245-2222
Fax:
423-245-4822
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.
PAC ID:
6103812235
Enrollment ID:
I20040422001637
NPI Number:
1033144225
NPI Enumeration Date:
12 Jul, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gregory Clinton Russell are as mentioned below.
License Number
Specialization
State
Status
ODT1813
Optometry
Tennessee
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gregory Clinton Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3941713
Medicaid
Tennessee
4076931
Other
Tennessee
BLUE CROSS BLUE SHIELD OF
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
102 Professional Park Pvt Dr, Kingsport, Tennessee
Zip:
37663-2287
Phone Number:
423-245-2222
Fax Number:
423-245-4822
Patients can reach Dr. Gregory Clinton Russell at 102 Professional Park Pvt Dr, Kingsport, Tennessee or can call to book an appointment on 423-245-2222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.