# DR. JAMES RUSSELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124351937
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4461 | FL | Yes |
| 152W00000X | Optometrist | OPT2551 | GA | — |

## Other

- **Enumeration date:** 09/10/2009
- **Last updated:** 04/21/2017