| Dr Kevin Joseph Russell, OD | |
|
2048 E. Baseline Rd., Suite C6, Mesa, AZ 85204 | |
| (480) 245-8929 | |
| (480) 507-0836 |
| Full Name | Dr Kevin Joseph Russell |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2048 E. Baseline Rd., Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194905257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 779 (Arizona) | Primary |
| Provider Name | Dr Simon Zmyslinski & Associates P L L C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710213434 PECOS PAC ID: 8729128889 Enrollment ID: O20091221000556 |
| Provider Name | Becken Vision Solutions Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770851974 PECOS PAC ID: 7618135393 Enrollment ID: O20120227000645 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Joseph Russell, OD 23490 S. 201st St., Queen Creek, AZ 85142 Ph: (480) 245-8929 | Dr Kevin Joseph Russell, OD 2048 E. Baseline Rd., Suite C6, Mesa, AZ 85204 Ph: (480) 245-8929 |
Dr. Fred Nmn Fisch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210 Phone: 480-834-6367 | |
Alicia S Mccallen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1444 S Sossaman Rd, Mesa, AZ 85209 Phone: 480-333-6563 Fax: 480-333-6564 | |
Eyes On Site Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2826 E Baseline Rd Ste 101, Mesa, AZ 85204 Phone: 480-626-8925 Fax: 480-704-4036 | |
Dr. Mark Peller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1025 S Power Rd, Mesa, AZ 85206 Phone: 480-325-6277 Fax: 480-325-6278 | |
Dr. Dawn Michelle Martin, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3940 E University Dr, Ste 5, Mesa, AZ 85205 Phone: 480-832-0030 Fax: 480-924-7268 | |
Pearson Eyecare Group, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6555 E Southern Ave, #1508, Mesa, AZ 85206 Phone: 480-345-7520 | |
Jordan Bluth, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1055 S Stapley Dr, Mesa, AZ 85204 Phone: 480-833-9100 |