Stone, Russell Bryant

Stone, Russell Bryant is an individual health care provider with primary practice located at 2402 Montgomery Dr , Wilson NC 27393-4421. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stone, Russell Bryant can be contacted via phone (252) 243-2020.

Contact Information

Primary practice address
2402 Montgomery Dr Wilson NC 27393-4421
Phone: (252) 243-2020
Fax: (252) 291-2020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1879 North Carolina

Profile Details

NPI number 1568414464
LBN Legal business name Stone, Russell Bryant
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 12th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568414464 NPPES
North Carolina MEDICAID 89093KU
North Carolina Other 1568414464
North Carolina Other 2200355
North Carolina Other 0312480001
North Carolina Other B9760
North Carolina Other 093KW
North Carolina Other P00249058

Popular Providers