# RUSSELL D SPRINGER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Athens Family Vision Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780851170
- **Authorized official:** DR. RUSSELL DOUGLAS SPRINGER O.D. (CEO)
- **Authorized official phone:** (706) 543-3599

## Contact information

- **Practice address:** 1000 HAWTHORNE AVE, STE A, ATHENS, GA 30606-2168
- **Practice address phone:** (706) 543-3599
- **Practice address fax:** (706) 543-8681
- **Mailing address:** 1000 HAWTHORNE AVE, STE A, ATHENS, GA 30606-2168
- **Mailing address phone:** (706) 543-3599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 332H00000X | Eyewear Supplier | 001619 | GA | — |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 10/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00772098A | — | GA |