Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Joseph Russell, OD

Individual provider Optometrist · NPI 1194905257

Dr. Kevin Joseph Russell, OD is an Optometrist in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2048 E Baseline Rd Ste C6
Mesa, AZ 85204
Phone: (480) 245-8929
Fax: (480) 507-0836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 779 (AZ)

Record details

NPI number1194905257
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 6, 2007
Last updated in NPPESApril 24, 2018

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