Search › New Mexico › 152W00000X
Gordon Russell, O.D
NPI 1902872476 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3450 E Main St
Farmington, NM 87402 - Phone
- (505) 325-7070
- Fax
- (505) 325-5812
- Organisation at this address
- Eyemart Express Llc
Skyview Eyecare IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico