James Frank Russell, OD Valid NPI
Individual provider · Optometrist · Edmond, OK
- NPI
- 1427259977
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 812 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-05-31
- Last updated
- 2007-07-08
Practice location
3431 S Boulevard St, Suite 105
Edmond, OK 73013-5475
(405) 340-1200