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

Dr. Russell Wayne Icke, OD

Individual provider Optometrist · NPI 1134113319

Dr. Russell Wayne Icke, OD is an Optometrist in Wichita, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2005
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

7050 E Lincoln St
Wichita, KS 67207-2638
Phone: (316) 683-9671
Fax: (316) 683-0168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 10352 (KS)

Record details

NPI number1134113319
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 2, 2005
Last updated in NPPESJuly 28, 2010

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