Brian Odonnell, Od Pc

LBN: Brian Odonnell, Od Pc
Brian Odonnell, Od Pc is an health care organization with primary practice located at 226 Carey Ave , Wilkes Barre PA 18702-2113. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Brian Odonnell, Od Pc can be contacted via phone (570) 826-8918, or through O'Donnell, Brian via phone (570) 826-8918.

Contact Information

Primary practice address
226 Carey Ave Wilkes Barre PA 18702-2113
Phone: (570) 826-8918
Fax: (570) 826-0240
Website:
Map and Directions
Authorized official contact:
Name: O'Donnell, Brian Doctor of Optometry (OD)
Phone: (570) 826-8918

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000463 Pennsylvania

Profile Details

NPI number 1194999763
LBN Legal business name Brian Odonnell, Od Pc
DBA Doing business as
Authorized official O'Donnell, Brian Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2008
Last updated Jul 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194999763 NPPES
Pennsylvania MEDICAID 1012666000001

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