Individual
RUSSEL E BESSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1613 HARDY CASH DR, HAMPTON, VA 23666-2414
(757) 229-4000
Mailing address
PO BOX 1290, FOREST, VA 24551-1290
(434) 385-5600
(434) 455-7172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000154
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010117585
—
VA
Enumeration date
06/05/2006
Last updated
05/08/2020
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