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BRIAN ODONNELL OD PC NPI 1194999763


NPI Information

NPI: 1194999763
Provider Name: BRIAN ODONNELL, OD PC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
226 CAREY AVE
WILKES BARRE, PA
ZIP 18702
Phone: (570) 826-8918
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BRIAN ODONNELL, OD PC is an optometrist in Wilkes Barre, PA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. BRIAN ODONNELL, OD PC NPI is 1194999763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

226 CAREY AVE
WILKES BARRE, PA
ZIP 18702-113
Phone: (570) 826-8918
Fax: (570) 826-0240

The provider's authorized official is Brian O'donnell .
The authorized official title is Owner/doctor and has the following contact phone number (570) 826-8918.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 7/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOEG000463PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15432210001MEDICARE NSCPENNSYLVANIA
2094650MEDICARE PINPENNSYLVANIA
3U34570MEDICARE UPINPENNSYLVANIA
41012666000001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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