Russell R Slaugh OD an Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

14240 Issued in CA

Legal business name

RUSSELL R SLAUGH OD AN OPTOMETRIC CORPORATION

Practice address

56970 Yucca TRL
Ste 101
Yucca Valley, CA 92284-7910

Phone

(760) 228-2020

Fax

(760) 369-2020

NPI assigned

Nov 10, 2011

Organization subpart

No

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

Authorized official

Name

Russell R Slaugh, O.D.

Title

Optometrist

Phone

(760) 228-2020

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Russell Slaugh Other name

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1245517804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56970 YUCCA TRL",
            "address_2": "STE 101",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847910",
            "telephone_number": "760-228-2020",
            "fax_number": "760-369-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56970 YUCCA TRL",
            "address_2": "STE 101",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847910",
            "telephone_number": "760-228-2020",
            "fax_number": "760-369-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL R SLAUGH OD AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SLAUGH",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "760-228-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1245517804",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RUSSELL R SLAUGH O.D.",
            "identifier": "1659684751",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENNIS G. LOWMAN O.D.",
            "identifier": "1134103484",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770922395",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ696612",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SD0142400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Slaugh",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Ross, PH.D.
• Charles Arnold Rowell, MA, LMFT
• Rui a Da Silva, M.D., Inc.
• Norma G. Ruiz
• Christy Marie Ruschmeyer, LMFT 160900
• Brittany Rynish, B. A.
• Rosario Sabala
• Mia Salamone
• Heather L Salgado
• Prem P Salhotra, M.D.

• Optometrist in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.