Individual
RUSSELL BRYANT STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1879
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0312480001
PALMETTO GBA
—
01
—
093KW
BCBS
NC
01
—
1568414464
NPI
NC
01
—
2200355
UHC
NC
05
—
89093KU
—
NC
01
—
B9760
MEDCOST
—
01
—
P00249058
RAILROAD MEDICARE
—
Enumeration date
05/17/2006
Last updated
10/12/2012
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