Brian David Odonnell in Shavertown - Optometrist

Brian David Odonnell - NPI 1033118427

Brian David Odonnell is a Optometrist in Shavertown, Pennsylvania. Brian David Odonnell practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Brian David Odonnell is 1033118427. The last update date is 2015-01-13.

Brian David Odonnell's current location address is 1324 Memorial Hwy, Shavertown, Pennsylvania. You can contact this provider via phone number 5707043993 and fax number 5707043998. The mailing address for Brian David Odonnell is 1324 Memorial Hwy, Shavertown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian David Odonnell
Address 1324 Memorial Hwy, Shavertown, Pennsylvania
Phone Number 5707043993
Fax Number 5707043998
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1033118427
Provider Enumeration Date 2005-07-18
Last Updated Date 2015-01-13

Provider Mailing Address Detail

Address 1324 Memorial Hwy
City Shavertown
State Pennsylvania (PA)
Post Code 187081545
Phone Number 5707043993
Fax Number 5707043998

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OEG000463
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1012666000001 PA --

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FAQs about Brian David Odonnell

What is the unique 10-digit identification code issued to Brian David Odonnell by the Centers for Medicare & Medicaid Services?

The Brian David Odonnell has been assigned the NPI (National Provider Identifier) 1033118427 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Brian David Odonnell's physical address?

The Brian David Odonnell is physically located at 1324 Memorial Hwy, in the city of Shavertown, PA, with the postal code 187081545.

What is Brian David Odonnell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brian David Odonnell's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

On what date did Brian David Odonnell receive its 1033118427 assignment from the Centers for Medicare & Medicaid Services?

The Brian David Odonnell was assigned its 1033118427 on 2005-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Brian David Odonnell most recently updated?

The details pertaining to the Brian David Odonnell, including its address, specialty, and other relevant information, were last refreshed on 2015-01-13.

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