RUSSELL EYECARE (NPI# 1629254107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629254107 |
| Entity Type | Organization |
| Organization Name | RUSSELL EYECARE |
| Practice Address |
240 W Evans St Florence SC 29501-3428 |
| Practice Telephone | 8436623278 |
| Practice Fax Number | 8436676090 |
| Mailing Telephone | 8436623278 |
| Mailing Fax Number | 8436676090 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2011-07-22 |
| Authorized Official Name | DR. SAMUEL O RUSSELL III (PROVIDER) |
| Authorized Official Telephone | 8436623278 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 601 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | D06018 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RUSSELL EYECARE & ASSOCIATES, LLC | 15 E Minnesota St Ste 107, Saint Joseph, MN 56374-4691 |
| Street Address |
240 W EVANS ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063479111 | Sam O Russell IIi | Optometrist | 240 W Evans St, Florence, SC 29501-3428 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083160915 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 7727 Mall Rd, Ste. B, Florence, KY 41042-1405 | 2016-08-31 |
| 1750611372 | Focal Point | Eyewear Supplier (Equipment, not the service) | 2002 Highway 101, North, Florence, OR 97439-0155 | 2010-01-04 |
| 1851446199 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2701 David H Mcleod Blvd, Florence, SC 29501-4043 | 2007-01-25 |
| 1548326325 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2701 W David Mcirod, Magnolia Mall, Florence, SC 29501-9501 | 2006-12-28 |
| 1790850543 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2130 Mall Rd, Spc 2131, Florence, KY 41042 | 2006-11-21 |
| 1073528709 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 301 Cox Creek Pkwy, Florence, AL 35630-1574 | 2006-07-30 |
| 1770505281 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 6000 Florence Mall, Florence, KY 41042-1432 | 2006-07-24 |
| 1760412589 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2701 David Mcleod Blvd, 1312, Florence, SC 29501 | 2006-07-04 |
| 1295193449 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2672 David H Mcleod Blvd, Florence, SC 29501 | 2016-02-03 |
| 1295119113 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1100 Hansel Ave, Florence, KY 41042-4869 | 2015-07-10 |
| Find all providers in FLORENCE | ||||
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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.