Individual
DR. RUSSELL LEE WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
518 AVENUE A, OPELIKA, AL 36801-5064
(334) 745-3112
(334) 745-8751
Mailing address
518 AVENUE A, OPELIKA, AL 36801-5064
(334) 745-3112
(334) 745-8751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-720-TA-192
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934524
—
AL
01
—
51531835
BLUE CROSS AND BLUE SHIEL
AL
01
—
OT42627
UNITED HEALTH CARE
AL
Enumeration date
12/04/2006
Last updated
07/09/2007
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