Russell, Robyn A

Russell, Robyn A is an sole proprietor health care provider with primary practice located at 735 N 6Th Ave , Wauchula FL 33873-2002. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Russell, Robyn A can be contacted via phone (863) 773-3322.

Contact Information

Primary practice address
735 N 6Th Ave Wauchula FL 33873-2002
Phone: (863) 773-3322
Fax: (863) 773-6458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X OPC4379 Florida
Eye and Vision Services Providers / Vision Therapy 152WV0400X OPC4379 Florida
Eye and Vision Services Providers / Optometrist 152W00000X OPC4379 Florida

Profile Details

NPI number 1356678155
LBN Legal business name Russell, Robyn A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2009
Last updated May 2nd, 2019 - about 7 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.

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