Russell Eyecare

LBN: Russell Eyecare
Russell Eyecare is an health care organization with primary practice located at 240 W Evans St , Florence SC 29501-3428. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Russell Eyecare can be contacted via phone (843) 662-3278, or through Russell, Samuel O via phone (843) 662-3278.

Contact Information

Primary practice address
240 W Evans St Florence SC 29501-3428
Phone: (843) 662-3278
Fax: (843) 667-6090
Website:
Map and Directions
Authorized official contact:
Name: Russell, Samuel O Doctor of Optometry (OD)
Phone: (843) 662-3278

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 601 South Carolina

Profile Details

NPI number 1629254107
LBN Legal business name Russell Eyecare
DBA Doing business as
Authorized official Russell, Samuel O Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2008
Last updated Jul 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629254107 NPPES
South Carolina MEDICAID D06018

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