Organization Active NPI

Russell R Slaugh OD, PC

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1649685041
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RUSSELL R SLAUGH OD, PC
Practice address
10149 N 92ND St
Ste 102
Scottsdale, AZ 85258-4557
Phone
(480) 860-1330
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Russell Slaugh, O.D.
Title
President
Phone
(801) 885-9913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

10149 N 92ND St
Ste 102
Scottsdale, AZ 85258-4557

Mailing address

10149 N 92ND St
Ste 102
Scottsdale, AZ 85258-4557
Phone (480) 860-1330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1649685041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10149 N 92ND ST",
            "address_2": "STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584557",
            "telephone_number": "480-860-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10149 N 92ND ST",
            "address_2": "STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584557",
            "telephone_number": "480-860-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL R SLAUGH OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "SLAUGH",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-885-9913",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.