DR. RUSSELL ICKE, OD
Optometrist
Active
Individual
NPI: 1134113319
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 10352 (KS) |
Frequently Asked Questions
NPI 1134113319 is the National Provider Identifier for DR. RUSSELL ICKE, OD, a Optometrist provider located in Wichita, KS. This NPI was enumerated on September 2, 2005.
DR. RUSSELL ICKE, OD practices at 7050 E LINCOLN ST, Wichita, KS 67207.
Quick Facts
- NPI
- 1134113319
- Type
- Individual
- Enumerated
- Sep 2, 2005
- Last Updated
- Jul 28, 2010
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