Individual
BELINDA D RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5187 US ROUTE 60 EAST, SUITE 6, HUNTINGTON, WV 25705
(304) 691-8800
(304) 302-0221
Mailing address
5187 US ROUTE 60 EAST, SUITE 6, HUNTINGTON, WV 25705
(304) 691-8800
(304) 302-0221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1025-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2601625
—
OH
05
—
3810003533
—
WV
05
—
77001378
—
KY
Enumeration date
03/23/2006
Last updated
10/02/2012
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