Organization
ADAM J RUSS OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM J RUSS (OPTOMETRIST)
(812) 479-5208
Entity
Organization
Contact information
Practice address
562 S GREEN RIVER RD, EVANSVILLE, IN 47715-7308
(812) 479-5208
Mailing address
562 S GREEN RIVER RD, EVANSVILLE, IN 47715-7308
(812) 479-5208
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003640A
IN
Other
Enumeration date
10/19/2012
Last updated
08/11/2016
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