Adam J Russ OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003640A Issued in IN

Legal business name

ADAM J RUSS OD LLC

Practice address

562 S Green River Rd
Evansville, IN 47715-7308

Phone

(812) 479-5208

NPI assigned

Oct 19, 2012

Last updated

Aug 11, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adam J RussNPI 1063728657

Title

Optometrist

Phone

(812) 479-5208

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam John Russ, O.D.

  • Optometrist
  • Evansville, IN
  • NPI 1063728657
  NPD (past) Authorized official
• Darrell W Pratt, O.D.

  • Optometrist
  • Evansville, IN
  • NPI 1144371675
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1063765659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 S GREEN RIVER RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157308",
            "telephone_number": "812-479-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 S GREEN RIVER RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157308",
            "telephone_number": "812-479-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM J RUSS OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "812-479-5208",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003640A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sherri N Ackerman
• Adam G Kiefer LLC (Kiefer Family Dental)
• Adam Hubert DDS PC
• Jana S Adamec, PT
• Adams Counseling Services LLC
• Adams County Memorial Hospital (River Bend Nursing and Rehabilitation)
• Adams County Memorial Hospital (Envive of Evansville)
• Andrea Ladawn Adams, MSSW, LCSW

• Optometrist in Evansville, IN
• Providers in Evansville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.