Russell S. Fillmore is a Mansfield, Ohio based male Pediatrics Optometrist with 34 years of experience in Optometry - Pediatrics. He completed his graduation from Ohio State University - College Of Optometry in 1990. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Russell S. Fillmore is 4193T1387 for Optometry in Ohio.
Russell S. Fillmore is concerned with the prevention, development, diagnosis, and treatment of visual problems in children. He has 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 with specialization in pediatrics.
Complete Profile:
Russell S. Fillmore 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 - Pediatrics |
| Credentials: | OD |
| Experience: | 34+ years |
| Medical School Attended: | Ohio State University - College Of Optometry |
| Graduation Year: | 1990 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1164 Lexington Ave, Mansfield,
Ohio, 44907-2254 |
| Phone: | 419-756-0500 |
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: | 7618925116 |
| Enrollment ID: | I20050112000225 |
| NPI Number: | 1306860754 |
| NPI Enumeration Date: | 27 Jul, 2006 |
| NPI Last Update On: | 30 Jun, 2017 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell S. Fillmore are as mentioned below.
| License Number | Specialization | State | Status | |
| 4193T1387 | Optometry | Ohio | Primary | |
| 4193T1387 | Optometry - Pediatrics | Ohio | Secondary | |
| 4193T1387 | Optometry - Corneal and Contact Management | Ohio | Secondary | |
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 Russell S. Fillmore has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Clarkson Optometry Midwest Inc (0749504165) | 84 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Russell S. Fillmore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0811607 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1164 Lexington Ave,
Mansfield, Ohio |
| Zip: | 44907-2254 |
| Phone Number: | 419-756-0500 |
| Fax Number: | -- |
Patients can reach Russell S. Fillmore at
1164 Lexington Ave, Mansfield, Ohio or can
call to book an appointment on 419-756-0500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.