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VISION SOURCE
NPI 1700076643
Optometrist in Evanston, WY

Active since July 26, 2007
720 6TH ST, EVANSTON, WY 82930(307) 789-1500(307) 789-0077 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vision Source NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISION SOURCE (NPI 1700076643) is a healthcare organization registered as an optometrist in Evanston, Wyoming and active in the NPI registry since July 2007. The organization lists David R Russell, President, as its authorized official.

NPPES Registry Identity

NPI1700076643
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDAVID R RUSSELL OD
Location Address720 6TH STEvanston, WY 82930
Mailing Address916 Main StEvanston, WY 82930-3441 · (307) 789-1500 · Fax (307) 789-0077
Phone(307) 789-1500
Fax(307) 789-0077
Organization SubpartNo
Authorized OfficialDavid R RussellPresident · (307) 789-1500
Enumeration DateJuly 26, 2007
Last NPPES UpdateAugust 2, 2018
✔ NPI 1700076643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WY · 293T
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.
720 6TH ST, Evanston, WY 82930
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Other Names 2

Doing Business AsVision Source
Doing Business AsAccurate Eye Care

Other Identifiers 1

Medicaid121954500WY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID RAY RUSSELL O.D.
Optometrist
720 6TH ST
EVANSTON, WY 82930
Uinta County (307) 789-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David R Russell Od's NPI number?

The NPI number for David R Russell Od is 1700076643. It was assigned to this organization in the NPPES registry on July 26, 2007. The provider is doing business as Vision Source and Accurate Eye Care.

Where is David R Russell Od located?

David R Russell Od is located at 720 6th St, Evanston, WY 82930. The listed phone number is (307) 789-1500.

What is David R Russell Od's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for David R Russell Od was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.