DR. Richard Rawls Russell, O.D.

NPI #1467529834 in Bastrop, Louisiana

Provider Information

NPI Number: 1467529834
Entity Type: Individual
Name: DR. Richard Rawls Russell, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 29, 2006
Last Updated: Dec 29, 2008

Practice Location

Address: 210 S ODOM ST
City: Bastrop
State: Louisiana
ZIP Code: 71220-4631
Phone: (318) 281-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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