Doctor profile · Federal record
Dr. Kevin Russell, O.D.
Optometrist · Mesa, AZ
- NPI 1194905257
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2048 E. Baseline RD., Suite C6
Mesa, AZ 85204
(480) 245-8929
fax (480) 507-0836 - Mailing address
-
23490 S. 201St St.
Queen Creek, AZ 85142
Credentials & registration
- NPI registered
- November 2007 — 19 yrs on file
- Profile last updated
- April 24, 2018
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Arizona #779
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194905257. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$125
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bausch & Lomb Americas Inc. | 1 | $125.00 |
By nature of payment
Frequently asked questions
What is Dr. Kevin Russell's medical specialty?
Dr. Kevin Russell practices Optometrist in Mesa, AZ.
Where does Dr. Kevin Russell practice?
Dr. Kevin Russell practices at 2048 E. Baseline RD., Mesa, AZ 85204. Office phone: 4802458929.
What is Dr. Kevin Russell's NPI?
Dr. Kevin Russell's National Provider Identifier (NPI) is 1194905257, issued by NPPES.