Individual
DR. RUSSELL THOMAS SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
113 W CARPENTER ST, BENTON, AR 72015-3317
(501) 778-2363
(501) 778-5329
Mailing address
113 W CARPENTER ST, BENTON, AR 72015-3317
(501) 778-2363
(501) 778-5329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2329
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139616722
—
AR
01
—
410041726
RAILROAD MEDICARE
AR
Enumeration date
06/30/2006
Last updated
08/13/2024
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