Organization
RICHARD R. RUSSELL, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD RAWLS RUSSELL O.D. (OPTOMETRIST)
(318) 281-2200
Entity
Organization
Contact information
Practice address
210 S ODOM ST, BASTROP, LA 71220-4631
(318) 281-2200
(318) 281-7359
Mailing address
210 S ODOM ST, BASTROP, LA 71220-4631
(318) 281-2200
(318) 281-7359
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
872-292T
LA
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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