# JAMES RUSSELL OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891593950
- **Authorized official:** JAMES RUSSELL OD (PRESIDENT)
- **Authorized official phone:** (706) 254-9248

## Contact information

- **Practice address:** 2478 BURNSED BLVD, THE VILLAGES, FL 32163-2702
- **Practice address phone:** (352) 399-5412
- **Mailing address:** 7408 PARK SPRINGS CIR, ORLANDO, FL 32835-2619
- **Mailing address phone:** (706) 254-9248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2025
- **Last updated:** 03/05/2025