| Gregg E Russell, OD | |
|
895 Canton Rd Ne, Building 100, Marietta, GA 30060-8934 | |
| (770) 427-8111 | |
| (770) 499-1643 |
| Full Name | Gregg E Russell |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 895 Canton Rd Ne, Marietta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487656237 | NPI | - | NPPES |
| 000515787W | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 001349 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg E Russell, OD 895 Canton Rd Ne, Building 100, Marietta, GA 30060-8934 Ph: (770) 427-8111 | Gregg E Russell, OD 895 Canton Rd Ne, Building 100, Marietta, GA 30060-8934 Ph: (770) 427-8111 |
Nicole L Mardak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se, Suite 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738 | |
Mr. Stuart R Tasman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 678-369-7212 | |
Marietta Vision Professionals Optometrist Medicare: Medicare Enrolled Practice Location: 2230 Roswell Rd, Suite 100, Marietta, GA 30062 Phone: 678-903-2579 Fax: 678-903-2583 | |
Dr. Scott Busey Holcomb, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Ste 660, Marietta, GA 30064 Phone: 770-590-8951 Fax: 770-590-8135 | |
Gray W Sass, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1545 Powers Ferry Rd Se, Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738 | |
The Saun Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 4690 Jefferson Township Ln, Marietta, GA 30066 Phone: 404-402-7870 Fax: 770-872-7463 | |
Dr. Jennifer Lynne Travis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Suite 660, Marietta, GA 30064 Phone: 770-590-8951 |