Individual
CHRISTINE L RUSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9 CENTRAL ST, LOWELL, MA 01852-1927
(978) 458-4546
(978) 934-9264
Mailing address
41 LINCOLN ST, WINCHESTER, MA 01890-2024
(781) 729-6464
(978) 458-4546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3406
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020878
NEIGHBORHOOD HEALTH PLAN
MA
01
—
003406
TUFTS HEALTH PLAN
MA
05
—
0354309
—
MA
01
—
152567
HARVARD PILGRIM HEALTH
MA
01
—
39917
DAVIS VISION
MA
01
—
60294
FALLON HEALTHCARE
MA
01
—
980955
NETWORK HEALTH
MA
01
—
B21030301
CIGNA HEALTH
MA
01
—
W15742
HMOBLUE
MA
01
—
W20210
BC/BS OF MASS
MA
Enumeration date
08/11/2005
Last updated
07/08/2007
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