| NPI | 1225191646 |
|---|---|
| Doing Business As | RUSS OPTICAL |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY W RUSS Owner 256-314-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |