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NPI · 1679526990 · NPPES-sourced

Jerrold Russell OD

ActiveOptometrist
NPI Number
1679526990
Type 1 · Individual
Taxonomy Code
152W00000X
Contact
(920) 623-2431
License WI · 2029-035
Last Updated
Enumerated
Primary practice addressWI · 53925-1614
1341 Park AveColumbus, WI 53925-1614
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About this NPIWhat this record shows.

NPI 1679526990 is registered to Jerrold Russell OD, a Optometrist practising at 1341 Park Ave in Columbus, Wisconsin. Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jerrold Russell OD has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jerrold Russell OD accepts. To confirm in-network status with your specific health plan, contact Jerrold Russell OD directly at (920) 623-2431.

Frequently asked

Yes. NPI 1679526990 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (920) 623-2431.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jerrold Russell OD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy152W00000X
Last updated
Enumerated
StatusActive
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