Organization Name: | DR. RUSSELL A. HUGHES, OPTOMETRIST, PA |
NPI Number: | 1124113105 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUSSELL A. HUGHES (PRESIDENT & CEO) |
Mailing Address: | 1091 Us Highway 64 West Suite 2 Hayesville |
State: | NC US |
Postal Code: | 289040058 |
Phone Number: | 8283893511 |
Fax Number: | 8283893544 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 1049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |