Russell Eyecare Inc.

LBN: Russell Eyecare Inc.
Russell Eyecare Inc. is an health care organization with primary practice located at 1450 Morrell Ave , Connellsville PA 15425-3809. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Russell Eyecare Inc. can be contacted via phone (724) 626-4486, or through Russell, Barry David via phone (412) 496-0327.

Contact Information

Primary practice address
1450 Morrell Ave Connellsville PA 15425-3809
Phone: (724) 626-4486
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russell, Barry David Doctor of Optometry (OD)
Phone: (412) 496-0327

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OEG000421 Pennsylvania

Profile Details

NPI number 1033404900
LBN Legal business name Russell Eyecare Inc.
DBA Doing business as
Authorized official Russell, Barry David Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2011
Last updated Jun 18th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033404900 NPPES
Pennsylvania MEDICAID 1565357

Popular Providers