Russell D Subia, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6260 TG Issued in TX

Practice address

2260 Linda Ave
Ste. 201
Odessa, TX 79763-2663

Phone

(432) 333-3937

Fax

(432) 337-3937

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• RGV Eye Center LLC

  • Optometrist
  • Odessa, TX
  • NPI 1821648502
  NPD (past) Authorized official
• Subia Eye Center PLLC

  • Optometrist
  • Odessa, TX
  • NPI 1033394432
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1689773574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 LINDA AVE",
            "address_2": "STE. 201",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797632663",
            "telephone_number": "432-333-3937",
            "fax_number": "432-337-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 LINDA AVE",
            "address_2": "STE. 201",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797632663",
            "telephone_number": "432-333-3937",
            "fax_number": "432-337-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBIA",
        "first_name": "RUSSELL",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6260 TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154996601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00027861",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "134421",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0024FC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA REGION C",
            "identifier": "489485001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81716Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sommer Straughter, RN
• Nicole Anne Strickland, FNP-C
• Kirsten Stringer, LOT
• Tiffney Ann Strong, PHARMACY TECHNICIAN
• Subia Eye Center PLLC
• Vivian Amanda Suchil, FNP-C
• Ahmed Bashir Sukhera
• Sean Katharine Sullivan, M.A., LPC-INTERN
• Sunflower RX, LLC
• Kranthi Lakshmi Sunkara

• Optometrist in Odessa, TX
• Providers in Odessa, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.