Dr. Russell Wayne Icke is a Wichita, Kansas based male Optometrist with 52 years of experience in Optometry. He completed his graduation from Pennsylvania College Of Optometry in 1972. 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. Russell Wayne Icke is 10352 for Optometry in Kansas. Dr. Russell Wayne Icke 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. Russell Wayne Icke 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
Experience:
52+ years
Medical School Attended:
Pennsylvania College Of Optometry
Graduation Year:
1972
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
7050 E Lincoln St, Wichita, Kansas, 67207-2638
Phone:
316-683-9671
Fax:
316-683-0168
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:
3375590458
Enrollment ID:
I20050331000813
NPI Number:
1134113319
NPI Enumeration Date:
02 Sep, 2005
NPI Last Update On:
28 Jul, 2010
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. Russell Wayne Icke are as mentioned below.
License Number
Specialization
State
Status
10352
Optometry
Kansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Russell Wayne Icke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
10090970A
Medicaid
Kansas
826580253
Other
RAILROAD MEDICARE
0212690001
Other
MEDICARE DMERC REGION D
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7050 E Lincoln St, Wichita, Kansas
Zip:
67207-2638
Phone Number:
316-683-9671
Fax Number:
316-683-0168
Patients can reach Dr. Russell Wayne Icke at 7050 E Lincoln St, Wichita, Kansas or can call to book an appointment on 316-683-9671. 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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