Active NPI
James Frank Russell, OD
- Optometrist
- Edmond, OK
National Provider Identifier
1427259977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 812
- Practice address
- 3431 S Boulevard St
Suite 105
Edmond, OK 73013-5475 - Phone
- (405) 340-1200
- NPI assigned
- May 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 812 | OK | Primary |
Addresses
Primary practice location
3431 S Boulevard St
Suite 105
Edmond, OK 73013-5475
Mailing address
6448 Brandywine LN
Oklahoma City, OK 73116-3520
Phone (405) 810-1090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812 | Other | OK | STATE LICENSE |
Other names 1
- Dr. J Frank Russell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 812 | OK | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427259977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6448 BRANDYWINE LN",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731163520",
"telephone_number": "405-810-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3431 S BOULEVARD ST",
"address_2": "SUITE 105",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135475",
"telephone_number": "405-340-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JAMES",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "812",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "RUSSELL",
"middle_name": "FRANK",
"prefix": "DR.",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.