Richard R. Russell, OD
Richard R. Russell, OD is a Durable Medical Equipment & Medical Supplies in Bastrop, Louisiana. Licensed in Louisiana. Registered with an NPI since 2009.
- Licensed in
- LA
- In the registry since
- 2009
Practice location Address checks out
210 S Odom StBastrop, LA 71220-4631
Phone: (318) 281-2200
Fax: (318) 281-7359
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 872-292T (LA) |
|---|
Record details
| NPI number | 1679714158 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Russell — Optometrist · (318) 281-2200 |
| NPI enumerated | March 13, 2009 |
| Last updated in NPPES | March 13, 2009 |
| Mailing address | 210 S Odom St, Bastrop, LA 71220-4631 |
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