Slaugh, Russell Ray

Slaugh, Russell Ray is an sole proprietor health care provider with primary practice located at 56970 Yucca Trl Suite 101, Yucca Valley CA 92284-7910. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Slaugh, Russell Ray can be contacted via phone (760) 228-2020.

Contact Information

Primary practice address
56970 Yucca Trl Suite 101 Yucca Valley CA 92284-7910
Phone: (760) 228-2020
Fax: (760) 369-2020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1753 Arizona

Profile Details

NPI number 1659684751
LBN Legal business name Slaugh, Russell Ray
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2010
Last updated Apr 18th, 2012 - about 14 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 1659684751 NPPES
Other 1659684751 NPI INDIVIDUAL
Other 1245517804 NPI INDIVIDUAL

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