RUSSELL RAWLS RICHARD - NPI: 1467529834


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1467529834
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: RICHARD
Provider Last Name: RUSSELL
Provider Middle Name: RAWLS
Provider Name Prefix Text: DR.
Provider Gender Code: M
Provider Credential Text: O.D.
Provider Enumeration Date: 11/29/2006
Last Update Date: 12/29/2008

Business Address:

Provider First Line Business Mailing Address: 210 S ODOM ST
Provider Business Mailing Address City Name: BASTROP
Provider Business Mailing Address State Name: LA
Provider Business Mailing Address Postal Code: 71220
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 3182812200
Fax Number: 3182817359

Mailing Address:

Provider First Line Business Practice Location Address: 210 S ODOM ST
Provider Business Practice Location Address City Name: BASTROP
Provider Business Practice Location Address State Name: LA
Provider Business Practice Location Address Postal Code: 71220
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 3182812200
Fax Number: 3182817359

Primary Taxonomy:

Taxonomy Code: 152W00000X
License Number: 872-292T
License State: LA
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Eye and Vision Services Providers
Classification: Optometrist
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine
Taxonomy Description: diagnose
Source: The National Provider Identifier

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