Springer, Russell D.

Springer, Russell D. is an sole proprietor health care provider with primary practice located at 270 Hawthorne Ave Ste A , Athens GA 30606-2881. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Springer, Russell D. can be contacted via phone (706) 543-3599.

Contact Information

Primary practice address
270 Hawthorne Ave Ste A Athens GA 30606-2881
Phone: (706) 543-3599
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X GA01619 Georgia
Eye and Vision Services Providers / Optometrist 152W00000X OPT001619 Georgia

Profile Details

NPI number 1336123843
LBN Legal business name Springer, Russell D.
Credentials PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Jan 17th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336123843 NPPES
Georgia MEDICAID 00772098A
Georgia MEDICAID 1841593175
Georgia MEDICAID 00772098C

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