Sears, Robert Russell

Sears, Robert Russell is an sole proprietor health care provider with primary practice located at 1640 S Washington St , Millersburg OH 44654-8901. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sears, Robert Russell can be contacted via phone (330) 674-3564.

Contact Information

Primary practice address
1640 S Washington St Millersburg OH 44654-8901
Fax: (330) 674-1630
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2881 Ohio

Profile Details

NPI number 1033122411
LBN Legal business name Sears, Robert Russell
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033122411 NPPES
Ohio MEDICAID 0361924

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