IndividualActive
Kurt Russell, O.D.
NPI 1710100532 · Corneal and Contact Management Optometrist · Mill Creek, WA
Provider details
- NPI number
- 1710100532
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3800 (WA)
Practice location
15808 Mill Creek Blvd
Suite 110
Mill Creek, WA 98012-1500
Phone: (425) 745-5650
Mailing address
13024 Ne 121st Ln
Kirkland, WA 98034-8045
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2014-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.