RUSSELL S. FILLMORE (NPI# 1306860754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306860754 |
Entity Type | Individual |
Full Name | RUSSELL S. FILLMORE |
Credential | OD |
Practice Address |
1164 Lexington Ave Mansfield OH 44907-2254 |
Practice Telephone | 4197560500 |
Mailing Telephone | 4197560500 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2017-06-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 4193T1387 | OH | Eye and Vision Services Providers |
N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
4193T1387 | OH | Eye and Vision Services Providers |
N | 152WP0200X |
Optometrist Specialization: Pediatrics |
4193T1387 | OH | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0811607 | 05 |
Street Address |
1164 LEXINGTON AVE |
City | MANSFIELD |
State | OH |
Zip Code | 44907-2254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245527654 | Daniel Thomas Soderberg | Optometrist | 1164 Lexington Ave, Mansfield, OH 44907-2254 | 2011-07-06 |
1366618076 | Stephanie Lynn Trittschuh | Hearing Instrument Specialist | 1164 Lexington Ave, Mansfield, OH 44907-2254 | 2008-05-02 |
1487843033 | Clarkson Optometry Midwest Inc | Optometrist | 1164 Lexington Ave, Mansfield, OH 44907-2254 | 2007-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
Find all providers in zip 44907 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
1932753027 | Phuong Pham | Optometrist | 1971 U.S. 287 Frontage Rd Ste 105, Mansfield, Tx 76063, Mansfield, TX 76063-7606 | 2019-07-28 |
1174175855 | Sabrina Gaan Od LLC | Optometrist | 287 School St Ste 140, Mansfield, MA 02048-1850 | 2019-07-12 |
1831667906 | Boyd Eye Care LLC | Optometrist | 1560 Highway 287 N Ste 300, Mansfield, TX 76063-8824 | 2018-11-07 |
1992271480 | Colston Eye Care, Pllc | Optometrist | 3150 E Broad St, Ste 120, Mansfield, TX 76063 | 2018-10-23 |
1083135404 | Benjamin Dean Colston | Optometrist | 3150 East Broad Street, Suite 120, Mansfield, TX 76063 | 2017-07-06 |
1982125316 | Lily Vision Pllc | Optometrist | 1971 Highway 287 N Ste 104, Mansfield, TX 76063-8982 | 2017-07-06 |
1124573092 | Specialeyes Optical, LLC | Optometrist | 1106 Alexis Ct, Mansfield, TX 76063-3338 | 2016-08-22 |
1427420702 | Schluterman Eye Care & Optical, Inc | Optometrist | 100 N Walnut Ave, Suite C, Mansfield, AR 72944-3522 | 2015-10-26 |
Find all providers in MANSFIELD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.