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Contact Information

RUSSELL A DAMICO, LDO
1650 W VALENCIA RD
TUCSON, AZ85746-6021
 Phone: 520-573-3264
 Fax: 520-294-2686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometric Assistant Technician

156FX1201X
Indicates primary specialty

NPI Profile & details for RUSSELL A DAMICO · (Male)

NPI # 1386447589
Status Active
Credentials LDO
Entity Individual
Enumeration date 03/31/2025
Last updated 03/31/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 2474
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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