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

Jerrold C Russell, OD

Individual provider Optometrist · NPI 1679526990

Jerrold C Russell, OD is an Optometrist in Columbus, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
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

1341 Park Ave
Columbus, WI 53925-1614
Phone: (920) 623-2431
Fax: (920) 623-3656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2029-035 (WI)

Record details

NPI number1679526990
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESJanuary 22, 2016
Mailing address1341 Park Ave, Columbus, WI 53925-1614

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