Individual
ADAM JOHN RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
562 S GREEN RIVER RD, EVANSVILLE, IN 47715-7308
(812) 479-5208
(812) 471-0486
Mailing address
562 S GREEN RIVER RD, EVANSVILLE, IN 47715-7308
(812) 479-5208
(812) 471-0486
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003640A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201046070
—
IN
Enumeration date
08/20/2010
Last updated
04/15/2025
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