Dr. Phillip Russell is a Brandywine, Maryland based male Optometrist who is specialized in Optometry. Active license number of Dr. Phillip Russell is TA1971 for Optometry in Maryland. Dr. Phillip 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. Phillip 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.
Gender:
Male
Practice Address:
16006 Crain Hwy, Brandywine, Maryland, 20613-8081
Phone:
301-372-3213
Fax:
301-372-3214
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:
1245244326
NPI Enumeration Date:
27 Jul, 2006
NPI Last Update On:
25 Oct, 2011
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. Phillip Russell are as mentioned below.
License Number
Specialization
State
Status
TA1971
Optometry
Maryland
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Phillip Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
010045711
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15004 Reserve Rd, Accokeek, Maryland
Zip:
20607-9403
Phone Number:
--
Fax Number:
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Patients can reach Dr. Phillip Russell at 16006 Crain Hwy, Brandywine, Maryland or can call to book an appointment on 301-372-3213. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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