Individual
DR. BRICE RUSSELL MUSSER
Active
Individual
DR. BRICE RUSSELL MUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2916
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140764
ANTHEM BCBS
OH
05
—
0179266
—
OH
01
—
0363830001
ADMINASTAR
OH
01
—
410037333
RAILROAD MEDICARE
OH
Enumeration date
06/24/2005
Last updated
04/13/2011
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