Russell Stabler Worrall, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6581T Issued in CA

Practice address

333 S Auburn St
Suite 1
Colfax, CA 95713-9778

Phone

(530) 346-2269

Fax

(530) 346-2593

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1457374019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S AUBURN ST",
            "address_2": "SUITE 1",
            "city": "COLFAX",
            "state": "CA",
            "postal_code": "957139778",
            "telephone_number": "530-346-2269",
            "fax_number": "530-346-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S AUBURN ST",
            "address_2": "SUITE 1",
            "city": "COLFAX",
            "state": "CA",
            "postal_code": "957139778",
            "telephone_number": "530-346-2269",
            "fax_number": "530-346-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRALL",
        "first_name": "RUSSELL",
        "middle_name": "STABLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6581T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Colfax, CA
• Providers in Colfax, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.