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Individual

MR. RUSSELL JAMES CROTTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
922 ALDEN DR, AUBURN, NE 68305-3021
(402) 274-3218
(402) 274-4538
Mailing address
922 ALDEN DR, AUBURN, NE 68305-3021
(402) 274-3218
(402) 274-4538

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1399
NE
152WC0802X
Corneal and Contact Management Optometrist
1399
NE
152WP0200X
Pediatric Optometrist
1399
NE
152WV0400X
Vision Therapy Optometrist
1399
NE

Other

Enumeration date
07/23/2013
Last updated
07/23/2013
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