Bristol, Danny Russell
Bristol, Danny Russell is an individual health care provider with primary practice located at 11500 Bee Caves Road #100, Austin TX 78738. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bristol, Danny Russell can be contacted via phone (512) 263-3937.Contact Information
Primary practice address
11500 Bee Caves Road #100
Austin TX 78738
Phone: (512) 263-3937
Fax: (512) 263-3940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5613TG | Texas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 5613TG | Texas |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 5613TG | Texas |
Profile Details
| NPI number | 1821194259 |
|---|---|
| LBN Legal business name | Bristol, Danny Russell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Oct 2nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821194259 | NPPES |
| Texas | Other | 0088FE | BCBS |
| Texas | MEDICAID | 172729901 | BCBS |
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