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

Dr. Russell L Doerksen, OD

Individual provider Optometrist · NPI 1528166634

Dr. Russell L Doerksen, OD is an Optometry in Wichita, Kansas. Graduated from University of Missouri St Louis - School of Optometry in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
37
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
KS
In the registry since
2006
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

7570 W 21st St N Bldg 1002
Wichita, KS 67205-1734
Phone: (316) 721-3377
Fax: (316) 721-6077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1324 (KS)

Record details

NPI number1528166634
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJune 10, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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