Subia, Russell D
Subia, Russell D is an individual health care provider with primary practice located at 2260 Linda Ave Ste. 201, Odessa TX 79763-2663. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Subia, Russell D can be contacted via phone (432) 333-3937.Contact Information
Primary practice address
2260 Linda Ave Ste. 201
Odessa TX 79763-2663
Phone: (432) 333-3937
Fax: (432) 337-3937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6260 TG | Texas |
Profile Details
| NPI number | 1689773574 |
|---|---|
| LBN Legal business name | Subia, Russell D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jan 29th, 2014 - about 12 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 | 1689773574 | NPPES |
| Texas | MEDICAID | 154996601 | |
| Texas | Other | P00027861 | |
| Texas | Other | 134421 | |
| Texas | Other | 0024FC | |
| Texas | Other | 489485001 | |
| Texas | Other | 81716Q |
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