Laverty, Russell
Laverty, Russell is an individual health care provider with primary practice located at 2008 S. Post Road , Midwest City OK 73130. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Laverty, Russell can be contacted via phone (405) 732-2277.Contact Information
Primary practice address
2008 S. Post Road
Midwest City OK 73130
Phone: (405) 732-2277
Fax: (405) 737-4776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 818 | Oklahoma |
Profile Details
| NPI number | 1285798835 |
|---|---|
| LBN Legal business name | Laverty, Russell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jan 14th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285798835 | NPPES |
| Oklahoma | Other | 730942461 | BCBS GROUP ID |
| Oklahoma | Other | 730942461 | BCBS GROUP ID |
| Oklahoma | Other | CS4518 | BCBS GROUP ID |
| Oklahoma | Other | 410025669 | BCBS GROUP ID |
| Oklahoma | Other | 730942461 | BCBS GROUP ID |
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