Russell, Gordon D.
Russell, Gordon D. is an sole proprietor health care provider with primary practice located at 3450 E Main St , Farmington NM 87402-5327. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Russell, Gordon D. can be contacted via phone (505) 325-7070.Contact Information
Primary practice address
3450 E Main St
Farmington NM 87402-5327
Phone: (505) 325-7070
Fax: (505) 325-5812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 529 | New Mexico |
Profile Details
| NPI number | 1902872476 |
|---|---|
| LBN Legal business name | Russell, Gordon D. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Sep 13th, 2021 - about 3 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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