Dr Kurt Russell, OD | |
15808 Mill Creek Blvd, Suite 110, Mill Creek, WA 98012-1500 | |
(425) 745-5650 | |
Not Available |
Full Name | Dr Kurt Russell |
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Gender | Male |
Speciality | Optometry |
Experience | 23 Years |
Location | 15808 Mill Creek Blvd, Mill Creek, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1710100532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152WC0802X | Optometrist - Corneal And Contact Management | 3800 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Liberty Lake Eyecare Center Ps | 2163323841 | 2 |
Provider Name | Liberty Lake Eyecare Center Ps |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609889039 PECOS PAC ID: 2163323841 Enrollment ID: O20040115000983 |
Provider Name | Mill Creek Eye And Contact Lens Clinic, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194094490 PECOS PAC ID: 3971762931 Enrollment ID: O20120309000644 |
Mailing Address | Practice Location Address |
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Dr Kurt Russell, OD 13024 Ne 121st Ln, Apt. H-406, Kirkland, WA 98034-8045 Ph: () - | Dr Kurt Russell, OD 15808 Mill Creek Blvd, Suite 110, Mill Creek, WA 98012-1500 Ph: (425) 745-5650 |
Sarah Youssef Makari, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14607 Main Street, Apartment A208, Mill Creek, WA 98012 Phone: 206-295-3989 | |
Dr. Tracy Voegeli, OD Optometrist Medicare: Medicare Enrolled Practice Location: 16708 Bothell Everett Hwy, Suite 103, Mill Creek, WA 98012 Phone: 425-481-4440 Fax: 425-481-4450 | |
Riley Forbes, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012 Phone: 425-481-4440 | |
Genna Lo, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012 Phone: 425-481-4440 Fax: 425-481-4450 | |
Mill Creek Vision Optometrist Medicare: Medicare Enrolled Practice Location: 15808 Mill Creek Blvd, Suite #110, Mill Creek, WA 98012 Phone: 425-745-5650 Fax: 425-337-1342 | |
Milda Bandza, Optometrist Medicare: Medicare Enrolled Practice Location: 16300 Mill Creek Blvd Ste 118, Mill Creek, WA 98012 Phone: 425-742-2900 Fax: 425-745-0740 | |
Michael Scott Wagner, OD Optometrist Medicare: Medicare Enrolled Practice Location: 16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012 Phone: 425-481-4440 |