NPI 1063765659

Adam J Russ OD LLC

Organisation Optometrist Evansville, IN

Practice location

Address: 562 S Green River Rd, Evansville, IN 47715-7308
Phone: (812) 479-5208

Authorised official

Name: Adam J Russ
Title: Optometrist
Phone: (812) 479-5208

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003640A (IN)

Other Optometrist providers in Indiana →

Registry record

NPI: 1063765659
Entity type: Organization
NPI issued: 19 Oct 2012
Record last updated: 11 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.