Doctor Name: | DR. ROBYN A RUSSELL |
NPI Number: | 1356678155 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.D. |
License Number: | OPC4379 |
Business Practice Address: | 735 N 6th Ave Wauchula, FL - 338732002 |
Business Phone Number: | 8637733322 |
Business Fax Number: | 8637736458 |
Mailing Address: | 735 N 6th Ave, WAUCHULA |
State: | FL |
Postal Code: | 338732002 |
Phone Number: | 8637733322 |
Fax Number: | 8637736458 |
NPI Enumeration Date: | 11/16/2009 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WP0200X |
License Number: | OPC4379 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |