Doctor Name: | DR. RUSEL MILLER SUTCLIFFE |
NPI Number: | 1598926024 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | OPC 601 |
Business Practice Address: | 1620 N Us Highway 1 One Tequesta, FL - 334693228 |
Business Phone Number: | 5617464000 |
Business Fax Number: | 5617463885 |
Mailing Address: | 1620 N Us Highway 1, One TEQUESTA |
State: | FL |
Postal Code: | 334693228 |
Phone Number: | 5617464000 |
Fax Number: | 5617463885 |
NPI Enumeration Date: | 06/18/2008 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OPC 601 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |