Rudasill, Don Paul
Rudasill, Don Paul is an sole proprietor health care provider with primary practice located at 3915 Ne Stallings Dr , Nacogdoches TX 75965-2169. He recently has 4 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 / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Rudasill, Don Paul can be contacted via phone (936) 564-2020.Contact Information
Primary practice address
3915 Ne Stallings Dr
Nacogdoches TX 75965-2169
Phone: (936) 564-2020
Fax: (936) 564-9696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2634TG | Texas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2634TG | Texas |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 2634TG | Texas |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2634TG | Texas |
Profile Details
| NPI number | 1730190489 |
|---|---|
| LBN Legal business name | Rudasill, Don Paul |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Apr 15th, 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 | 1730190489 | NPPES |
| Texas | MEDICAID | 127238701 |
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