DR. SAM RUSSELL III, OD
Optometrist
Active
Individual
NPI: 1063479111
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 601 (SC) |
Frequently Asked Questions
NPI 1063479111 is the National Provider Identifier for DR. SAM RUSSELL III, OD, a Optometrist provider located in Florence, SC. This NPI was enumerated on May 1, 2006.
DR. SAM RUSSELL III, OD practices at 240 W EVANS ST, Florence, SC 29501.
Quick Facts
- NPI
- 1063479111
- Type
- Individual
- Enumerated
- May 1, 2006
- Last Updated
- Apr 24, 2008
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