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Dr. Russell Wayne Icke, OD
Optometrist in Wichita, Kansas
NPI 1134113319

Russell Wayne Icke is a Optometrist based in Wichita, KS. Russell Wayne Icke practices in Wichita, KS and has the professional credentials of OD. The NPI Number for Russell Wayne Icke is 1134113319 and holds a License No. 10352 (Kansas).

The current practice location address for Russell Wayne Icke is 7050 E Lincoln St, Wichita, KS and can be reached out via phone at 316-683-9671 and via fax at 316-683-0168.

Location: 7050 E Lincoln St, Wichita, KS, 67207-2638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134113319
Provider Name
Russell Wayne Icke
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
7050 E Lincoln St, Wichita, KS, 67207-2638
Phone Number
316-683-9671
Fax Number
316-683-0168
Provider Enumeration Date
09/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10090970A 05 KS
826580253 01 RAILROAD MEDICARE
0212690001 01 MEDICARE DMERC REGION D
institution
Provider Business Practice Location Address Details
Address
7050 E Lincoln St
City
Wichita
State
Kansas
Zip
67207-2638
Phone Number
316-683-9671
Fax Number
316-683-0168
person
Provider Business Mailing Address Details
Address
7050 E Lincoln St
City
Wichita
State
Kansas
Zip
67207-2638
Phone Number
316-683-9671
Fax Number
316-683-0168
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
10352 (Kansas)
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
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