DR. JON RUSSELL, O.D.
Optometrist
Active
Individual
NPI: 1831177088
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 046008174 (IL) |
Frequently Asked Questions
NPI 1831177088 is the National Provider Identifier for DR. JON RUSSELL, O.D., a Optometrist provider located in Marengo, IL. This NPI was enumerated on January 6, 2006.
DR. JON RUSSELL, O.D. practices at 205 N STATE ST, Marengo, IL 60152.
Quick Facts
- NPI
- 1831177088
- Type
- Individual
- Enumerated
- Jan 6, 2006
- Last Updated
- Jul 8, 2007
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