RUSSELL FILLMORE, OD
Optometrist
Active
Individual
NPI: 1306860754
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist - Pediatrics | 152WP0200X | No | 4193T1387 (OH) |
| Optometrist | 152W00000X | Yes | 4193T1387 (OH) |
| Optometrist - Corneal and Contact Management | 152WC0802X | No | 4193T1387 (OH) |
Frequently Asked Questions
NPI 1306860754 is the National Provider Identifier for RUSSELL FILLMORE, OD, a Optometrist provider located in Mansfield, OH. This NPI was enumerated on July 27, 2006.
RUSSELL FILLMORE, OD practices at 1164 LEXINGTON AVE, Mansfield, OH 44907.
Quick Facts
- NPI
- 1306860754
- Type
- Individual
- Enumerated
- Jul 27, 2006
- Last Updated
- Jun 30, 2017
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