Whatley, Russell Lee

Whatley, Russell Lee is an individual health care provider with primary practice located at 518 Avenue A , Opelika AL 36801-5064. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Whatley, Russell Lee can be contacted via phone (334) 745-3112.

Contact Information

Primary practice address
518 Avenue A Opelika AL 36801-5064
Phone: (334) 745-3112
Fax: (334) 745-8751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S-720-TA-192 Alabama

Profile Details

NPI number 1740358076
LBN Legal business name Whatley, Russell Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 9th, 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 1740358076 NPPES
Alabama Other OT42627 UNITED HEALTH CARE
Alabama MEDICAID 009934524 UNITED HEALTH CARE
Alabama Other 51531835 UNITED HEALTH CARE

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