DR. RICHARD RAWLS RUSSELL (NPI# 1467529834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467529834 |
| Entity Type | Individual |
| Full Name | DR. RICHARD RAWLS RUSSELL |
| Credential | O.D. |
| Practice Address |
210 S Odom St Bastrop LA 71220-4631 |
| Practice Telephone | 3182812200 |
| Practice Fax Number | 3182817359 |
| Mailing Telephone | 3182812200 |
| Mailing Fax Number | 3182817359 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-12-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 872-292T | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VANTAGE HEALTH PLAN | 72128 | 01 | |
| ARKANSAS BLUE CROSS BLUE SHIELD | 98171 | 01 | |
| BLUE CROSS BLUE SHIELD OF LOUISIANA | 2267B | 01 | |
| UNITED COMMERCIAL TRAVELORS OF AMERICA | 30048 | 01 | |
| LA | 1308021 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154871366 | Richard Adam Russell | Counselor | 42 Dunar Ave, Medford, MA 02155 | 2016-10-12 |
| 1841611142 | Richard Paul Russell | Dentist | 281 Bellevue Ave, Upper Montclair, NJ 07043-1022 | 2014-01-04 |
| 1386078582 | Richard F Russell | General Practice | 2221 S Tioga Way, Las Vegas, NV 89117-2735 | 2013-08-25 |
| 1902101694 | Richard Rutledge Russell | Psychologist | 1211 Hawaii Avenue, Building B, Alamogordo, NM 88310 | 2011-01-11 |
| 1326196593 | Richard Dewayne Russell | Durable Medical Equipment & Medical Supplies | 3165 Boone Dr, Conway, AR 72034-7388 | 2007-01-06 |
| 1598772923 | Richard Scott Russell | Ophthalmology | 18 Jayson Ave, Great Neck, NY 11021-4238 | 2006-08-01 |
| 1689696759 | Richard Harold Russell | General Practice | 1013 County Road 362 S, New Albany, MS 38652-8855 | 2006-07-24 |
| 1144213240 | Richard B Russell | Family Medicine | 121 N Tulpehocken St, Pine Grove, PA 17963-1217 | 2005-08-24 |
| 1609306786 | Richard Scott Russell | Social Worker | 16 Bush Hill Rd, Ipswich, MA 01938-1642 | 2017-06-12 |
| 1366993156 | Richard Lim Russell | Counselor | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2016-10-17 |
| Street Address |
210 S ODOM ST |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679714158 | Richard R. Russell, O.d. | Durable Medical Equipment & Medical Supplies | 210 S Odom St, Bastrop, LA 71220-4631 | 2009-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366828253 | Jordan Mutschink | Optometrist | 747 Highway 71 W Ste A-550, Bastrop, TX 78602-4096 | 2015-08-03 |
| 1346252319 | Pamela Sue Solly | Optometrist | 747 Highway 71 W, Suite A-550, Bastrop, TX 78602-4096 | 2006-08-11 |
| 1376518480 | Robert F Riegler | Optometrist | 488 Highway 71 W, Bastrop, TX 78602-3731 | 2006-02-22 |
| 1760469423 | Garey E Ware | Optometrist | 404 South Washington Street, Bastrop, LA 71220 | 2005-12-23 |
| 1942286448 | David Russell Tauch | Optometrist | 85 Loop 150 W, Bastrop, TX 78602 | 2005-12-16 |
| 1275521726 | Deborah Susan Jones | Optometrist | 1412 W State Highway 71, Suite 109, Bastrop, TX 78602-3485 | 2005-10-10 |
| 1265949572 | Texas Vision Clinic Pllc | Optometrist | 85 Loop 150 W, Bastrop, TX 78602-3930 | 2018-01-08 |
| 1174044499 | Candice Ann Bradford | Optometrist | 747 Highway 71 W Ste A-550, Bastrop, TX 78602-4096 | 2017-06-28 |
| 1427490192 | Matthew Philip Schukar | Optometrist | 85 Loop 150 W, Bastrop, TX 78602-3930 | 2013-07-23 |
| 1952692147 | Bastrop Family Eye Care | Optometrist | 747 Highway 71 W, Suite A-550, Bastrop, TX 78602-4096 | 2011-04-22 |
| Find all providers in BASTROP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.