The Russell Eyecare Center

NPI #1841710563 in Russell, Kansas

Provider Information

NPI Number: 1841710563
Entity Type: Organization
Organization Name: The Russell Eyecare Center
Primary Specialty: Optometrist
Enumeration Date: Jun 23, 2017
Last Updated: Jun 23, 2017

Practice Location

Address: 702 N KANSAS ST
City: Russell
State: Kansas
ZIP Code: 67665-2043
Phone: (785) 483-2451

Authorized Official

Name: CHAD T PREMER, OD
Title: OWNER
Phone: (620) 792-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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