Individual
GORDON D. RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3450 E MAIN ST, FARMINGTON, NM 87402-5327
(505) 325-7070
(505) 325-5812
Mailing address
3450 E MAIN ST, FARMINGTON, NM 87402-5327
(505) 325-7070
(505) 326-2756
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
529
NM
Other
Enumeration date
02/24/2006
Last updated
09/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us