DAVID R RUSSELL OD
Optometry at Main St, Evanston, WY

License number
Wyoming 293T
Category
Optometry
Type
Optometrist
Owner
Name: DAVID R RUSSELL OD
Title: PRESIDENT
Phone: (307) 789-1500
Address
Address
916 Main St, Evanston, WY 82930
National Provider ID: 1700076643
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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David R. Russell, O.D

916 Main St, Evanston, WY 82930

Industry:
Optometrist's Office
Doing business as:
David R Russell OD<br>Accurate Eye Care
Registration:
Apr 15, 2005
State ID:
2005-000491100
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual
Od, Presidents:
Paul Barnard (Od),David R. Russell (Od, President)

Vision Source

916 Main St, Evanston, WY 82930

Doing business as:
Vision Source - David R Russell Od
Registration:
May 22, 2013
Phone:
(307) 789-1500 (Phone)
State ID:
2013-000643915
Business type:
Trade Name
Expiration:
Expires-05/22/2023
Categories:
Contact Lenses, Optical Goods Retail, Optometrists

Optometry licenses in Wyoming




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