What is Jerrold Russell's NPI number?

Jerrold Russell's National Provider Identifier (NPI) is 1679526990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jerrold Russell's specialty?

Jerrold Russell is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Jerrold Russell located?

Jerrold Russell's practice location on file with NPPES is 1341 Park Ave, Columbus, WI 53925-1614.

What is Jerrold Russell's phone number?

The practice phone number listed in the NPPES registry for Jerrold Russell is (920) 623-2431.

Is Jerrold Russell's NPI active?

Yes — Jerrold Russell's NPI (1679526990) is active in the NPPES registry as of the last update on 2016-01-22.

IndividualActive

Jerrold Russell, OD

NPI 1679526990 · Optometrist · Columbus, WI

Jerrold Russell, OD is a Optometrist provider in Columbus, WI (NPI 1679526990).

Provider details

NPI number: 1679526990
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: No
License: 2029-035 (WI)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 2029-035 (WI)
Eye and Vision Services Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1341 Park Ave

Columbus, WI 53925-1614

Phone: (920) 623-2431

Fax: (920) 623-3656

Street-level locationGet directions

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Mailing address