Russell W Icke (NPI# 1134113319, PAC ID# 3375590458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1134113319 |
| PAC ID by PECOS | 3375590458 |
| Professional Enrollment ID | I20050331000813 |
| Full Name | Russell W Icke |
| Address |
7050 E Lincoln St Wichita KS 67207-2638 |
| Phone Number | 3166839671 |
| Gender | M |
| Credential | OD |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1972 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7050 E Lincoln St, Wichita, KS 67207-2638 | 3166839671 |
| Street Address |
7050 E LINCOLN ST |
| City | WICHITA |
| State | KS |
| Zip | 67207-2638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen L Benson | Psychologist, Clinical | 111 S Whittier St, Wichita, KS 67207-1045 | |
| Jeff L Drake | Chiropractic | 154 S Rock Rd, Wichita, KS 67207-1152 | |
| Gary R Hackney | Psychologist, Clinical | 7701 E Kellogg Dr, Suite 840, Wichita, KS 67207-1706 | |
| Hayley Williams | Optometry | 7700 E Kellogg Dr, Wichita, KS 67207-1772 | |
| Vanlang Q Huynh | Optometry | 9700 E Kellogg Dr, Wichita, KS 67207-1821 | |
| Heather Hanson Wooten | Optometry | New Vision Optometry Pa | 8113 E Kellogg Dr, Suite 500, Wichita, KS 67207-1840 |
| Jeremy L Guenthner | Optometry | New Vision Optometry Pa | 8113 E Kellogg Dr, Suite 500, Wichita, KS 67207-1840 |
| William R Storment | Optometry | 11411 E Kellogg Dr, Optometrist Office, Wichita, KS 67207-1928 | |
| Shauna M Meier | Clinical Social Worker | 8911 E Orme St D, Wichita, KS 67207-2424 | |
| Russell Scott Stegman | Psychologist, Clinical | 8911 E Orme St, Suite D, Wichita, KS 67207-2424 | |
| Find all physicians in zip 67207 | |||
| City | WICHITA |
| Zip Code | 67207 |
| Specialty | OPTOMETRY |
| City + Specialty | WICHITA + OPTOMETRY |
Please comment or provide details below to improve the information on Russell W Icke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.