Organization Active NPI

E. Russell Dressen, Jr. OD

  • Optometrist
  • Abilene, TX
National Provider Identifier
1053581314
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2170TG Issued in TX
Legal business name
E. RUSSELL DRESSEN, JR. OD
Practice address
942 Hickory St
Abilene, TX 79601-4104
Phone
(325) 677-6331
NPI assigned
Mar 3, 2008
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. E. Russell Dressen Jr., ODNPI 1891851218
Title
Owner
Phone
(325) 677-6331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2170TG TX Primary

Addresses

Primary practice location

942 Hickory St
Abilene, TX 79601-4104

Mailing address

PO Box 2994
Abilene, TX 79604-2994
Phone (325) 677-6331

Other identifiers 2

IdentifierTypeStateIssuer
00E69WOtherTXBLUE CROSS BLUE SHIELD OF
0194623-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

942 Hickory St
Abilene, TX 79601
Phone (325) 677-6331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1053581314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2994",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796042994",
            "telephone_number": "325-677-6331",
            "fax_number": "325-677-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796014104",
            "telephone_number": "325-677-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. RUSSELL DRESSEN, JR. OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "DRESSEN",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-677-6331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2170TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "00E69W",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194623-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.