# DR. RICHARD RAWLS RUSSELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467529834
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 872-292T | LA | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 12/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1308021 | — | LA |
| 01 | — | 2267B | BLUE CROSS BLUE SHIELD OF LOUISIANA | — |
| 01 | — | 30048 | UNITED COMMERCIAL TRAVELORS OF AMERICA | — |
| 01 | — | 72128 | VANTAGE HEALTH PLAN | — |
| 01 | — | 98171 | ARKANSAS BLUE CROSS BLUE SHIELD | — |