Hart, Russell W

Hart, Russell W is an individual health care provider with primary practice located at 8072 Normandy Dr , Fort Riley KS 66442-7069. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hart, Russell W can be contacted via phone (785) 240-5516.

Contact Information

Primary practice address
8072 Normandy Dr Fort Riley KS 66442-7069
Phone: (785) 240-5516
Fax: (785) 239-4065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1396-3 Kansas

Profile Details

NPI number 1851386379
LBN Legal business name Hart, Russell W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Aug 16th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851386379 NPPES
Kansas Other 651142 BCBS
Kansas MEDICAID 100219860E BCBS

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