Dr Russell Isaac Liles, OD | |
4415 Loop 322, Abilene, TX 79602-8056 | |
(325) 603-2020 | |
Not Available |
Full Name | Dr Russell Isaac Liles |
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Gender | Male |
Speciality | Optometry |
Experience | 10 Years |
Location | 4415 Loop 322, Abilene, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578971396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2817 (Oklahoma) | Secondary |
152W00000X | Optometrist | 8529TG (Texas) | Secondary |
152W00000X | Optometrist | 8529T (Texas) | Primary |
Provider Name | Russell Liles, O.d., Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457859142 PECOS PAC ID: 5991067779 Enrollment ID: O20180314000365 |
Mailing Address | Practice Location Address |
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Dr Russell Isaac Liles, OD 4415 Loop 322, Abilene, TX 79602-8056 Ph: (325) 370-5513 | Dr Russell Isaac Liles, OD 4415 Loop 322, Abilene, TX 79602-8056 Ph: (325) 603-2020 |
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