MEDICARE: GORDON D. RUSSELL O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	529	NM

General Provider Information

NPI Number	:	1902872476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GORDON D. RUSSELL O.D.

Provider Business Mailing Address
First Line	:	3450 E MAIN ST
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87402-5327
Country	:	US
Telephone Number	:	505-325-7070
Fax Number	:	505-326-2756

Provider Business Practice Location Address
First Line	:	3450 E MAIN ST
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87402-5327
Country	:	US
Telephone Number	:	505-325-7070
Fax Number	:	505-325-5812

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	09/13/2021

Similar Medicare Providers

1700075843 — SKYVIEW EYECARE INC
Practice Location Address:

3450 E MAIN ST
FARMINGTON, NM
87402-5327

Practice Phone: 505-325-7070
Practice Fax: 505-325-5812

1700165719 — DR. MATTHEW RAYMOND WEBB O.D.
Practice Location Address:

3450 E MAIN ST
FARMINGTON, NM
87402-5327

Practice Phone: 505-325-7070
Practice Fax: 505-325-5812

1144628074 — EYEMART EXPRESS LLC
Practice Location Address:

3450 E MAIN ST
FARMINGTON, NM
87402-5327

Practice Phone: 505-326-7800
Practice Fax: 505-326-7800

1457354359 — WERNER HENRY BECKERHOFF JR. CRNA
Practice Location Address:

5410 COLIBRI PL
FARMINGTON, NM
87402-0983

Practice Phone: 505-564-3402
Practice Fax:

1992701601 — DR. JULIUS NICHOLAS MANZ DDS
Practice Location Address:

4601 COLLEGE BLVD
FARMINGTON, NM
87402-4609

Practice Phone: 505-325-4475
Practice Fax:

1720051535 — DR. MARY CATHERINE CURRY M.D.
Practice Location Address:

5512 E MAIN ST STE A
FARMINGTON, NM
87402-4421

Practice Phone: 505-787-2515
Practice Fax: 505-787-2563

Directions to “ GORDON D. RUSSELL O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.