Russell W Purdy (NPI# 1295823029, PAC ID# 6709807779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1295823029 |
| PAC ID by PECOS | 6709807779 |
| Professional Enrollment ID | I20051219000335 |
| Full Name | Russell W Purdy |
| Organization Legal Name | STANDARD OPTICAL CO |
| Address |
1076 Layton Hills Mall Suite 2090 Layton UT 84041-2104 |
| Phone Number | 8015460255 |
| Gender | M |
| Credential | OD |
| Graduation Year | 1987 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8224921390 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1076 Layton Hills Mall, Suite 2090, Layton, UT 84041-2104 | 8015460255 | STANDARD OPTICAL CO |
| 4283 Harrison Blvd, Ogden, UT 84403-3101 | 8014795060 | STANDARD OPTICAL CO |
| 5421 S 1900, Roy, UT 84067-2908 | 8018259703 | STANDARD OPTICAL CO |
| 1901 W Pkwy Blvd, Salt Lake City, UT 84119-2001 | 8019720203 | STANDARD OPTICAL CO |
| Organization Legal Name | STANDARD OPTICAL CO |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Lundquist | Optometry | Standard Optical Co | 2124 S Highland Dr, Salt Lake City, UT 84106-2807 |
| Rochelle Ann Myers | Optometry | Standard Optical Co | 1901 W Pkwy Blvd, Salt Lake City, UT 84119-2001 |
| Jenna M Obrien | Optometry | Standard Optical Co | 140 W 500, Bountiful, UT 84010-6232 |
| Charles H Kinney | Optometry | Standard Optical Co | 460 N 325, Harrisville, UT 84404-3578 |
| Andrew Gc Helman | Optometry | Standard Optical Co | 1438 E Main St, 4 Standard Optical, Lehi, UT 84043-3797 |
| Jonathan J Boster | Optometry | Standard Optical Co | 4283 Harrison Blvd, Ogden, UT 84403-3101 |
| Stephen C Lewis | Optometry | Standard Optical Co | 1455 S State St, Orem, UT 84097-7748 |
| Curtis W Millet | Optometry | Standard Optical Co | 4878 S Highland Dr, Holladay, UT 84117-6007 |
| Duane C Knowles | Optometry | Standard Optical Co | 1438 E Main St, 4 Standard Optical, Lehi, UT 84043-3797 |
| Brent L Hadlock | Optometry | Standard Optical Co | 1438 E Main St, 4 Standard Optical, Lehi, UT 84043-3797 |
| Street Address |
1076 LAYTON HILLS MALL SUITE 2090 |
| City | LAYTON |
| State | UT |
| Zip | 84041-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Douglas Kimball Henstrom | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in zip 84041 | |||
| City | LAYTON |
| Zip Code | 84041 |
| Specialty | OPTOMETRY |
| City + Specialty | LAYTON + OPTOMETRY |
Please comment or provide details below to improve the information on Russell W Purdy.
| 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.