Organization
MICHAEL S RUSSELL, OD, LLC
Active
Other names
Professional Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S RUSSELL OD (OWNER, OPTOMETRIST)
(630) 355-6878
Entity
Organization
Contact information
Practice address
1112 S WASHINGTON ST STE 214, NAPERVILLE, IL 60540-7964
(630) 355-6878
(630) 355-0043
Mailing address
1112 S WASHINGTON ST STE 214, NAPERVILLE, IL 60540-7964
(630) 355-6878
(630) 355-0043
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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