National Provider Identifier Database

DAVID R RUSSELL OD
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

DAVID R RUSSELL OD
720 6TH ST
EVANSTON, WY82930
Phone: 307-789-1500
Fax: 307-789-0077
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for DAVID R RUSSELL OD

NPI Number 1700076643
Legal business name
LBN
DAVID R RUSSELL OD
Authorized official DAVID RUSSELL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/26/2007
Last updated 08/02/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 293T
  • WY Medicaid: 121954500

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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