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 |
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Address | 1324 Memorial Hwy, Shavertown, Pennsylvania |
Phone Number | 5707043993 |
Fax Number | 5707043998 |
Sole Proprietor | Y |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1033118427 |
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Provider Enumeration Date | 2005-07-18 |
Last Updated Date | 2015-01-13 |
Provider Mailing Address Detail
Address | 1324 Memorial Hwy |
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City | Shavertown |
State | Pennsylvania (PA) |
Post Code | 187081545 |
Phone Number | 5707043993 |
Fax Number | 5707043998 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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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 |
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1012666000001 | PA | -- |
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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.