Russell R Gist Od Pc

LBN: Russell R Gist Od Pc
Russell R Gist Od Pc is an health care organization with primary practice located at 1810 Sw White Birch Cir Suite 109, Ankeny IA 50023-7226. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Russell R Gist Od Pc can be contacted via phone (515) 965-8488, or through Gist, Russell R via phone (515) 965-8488.

Contact Information

Primary practice address
1810 Sw White Birch Cir Suite 109 Ankeny IA 50023-7226
Phone: (515) 965-8488
Fax: (515) 965-8499
Website:
Map and Directions
Authorized official contact:
Name: Gist, Russell R Doctor of Optometry (OD)
Phone: (515) 965-8488

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1700831492
LBN Legal business name Russell R Gist Od Pc
DBA Doing business as
Authorized official Gist, Russell R Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Nov 15th, 2007 - about 18 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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