Dr. Jon W Russell is a Marengo, Illinois based male Optometrist with 43 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 1981. 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. Jon W Russell is 046008174 for Optometry in Illinois. Dr. Jon W 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. Jon W 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:
43+ years
Medical School Attended:
Illinois College Of Optometry At Chicago
Graduation Year:
1981
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
205 N State St, Marengo, Illinois, 60152-2239
Phone:
815-568-6508
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:
4284637505
Enrollment ID:
I20060807000010
NPI Number:
1831177088
NPI Enumeration Date:
06 Jan, 2006
NPI Last Update On:
08 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. Jon W Russell are as mentioned below.
License Number
Specialization
State
Status
046008174
Optometry
Illinois
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jon W Russell has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Marengo Vision Center, P.c. (8426061169)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jon W Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
046008174
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
205 N State St, Marengo, Illinois
Zip:
60152-2239
Phone Number:
815-568-6508
Fax Number:
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Patients can reach Dr. Jon W Russell at 205 N State St, Marengo, Illinois or can call to book an appointment on 815-568-6508. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.