Richard Rawls Russell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

872-292T Issued in LA

Practice address

210 S Odom St
Bastrop, LA 71220-4631

Phone

(318) 281-2200

Fax

(318) 281-7359

NPI assigned

Nov 29, 2006

Last updated

Dec 29, 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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard R. Russell, O.D.

  • Durable Medical Equipment & Medical Supplies
  • Bastrop, LA
  • NPI 1679714158
  Authorized official Same address or phone
• Meghan L. McNease, OD, LLC

  • Optometrist
  • Bastrop, LA
  • NPI 1255762035
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1467529834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S ODOM ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204631",
            "telephone_number": "318-281-2200",
            "fax_number": "318-281-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S ODOM ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204631",
            "telephone_number": "318-281-2200",
            "fax_number": "318-281-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "RICHARD",
        "middle_name": "RAWLS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "872-292T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308021",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED COMMERCIAL TRAVELORS OF AMERICA",
            "identifier": "30048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VANTAGE HEALTH PLAN",
            "identifier": "72128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF LOUISIANA",
            "identifier": "2267B",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHIELD",
            "identifier": "98171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Butler Rios, OT
• Riversouth Rehabilitation Center, Inc. (N/a)
• Robert E Lyon Internal Medicine, Inc
• Robert E Lyon Internal Medicine, Inc.
• Kiantre Robinson
• Curtis Sanders, M.D.
• Savannah Court of Bastrop
• Thomas Scarborough, OTR/L
• Daryl Hoston Seay Sr.
• Althea Shaw

• Optometrist in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.