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Contact Information

BRIAN ODONNELL, OD PC
226 CAREY AVE
WILKES-BARRE, PA18702-2113
 Phone: 570-826-8918
 Fax: 570-826-0240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRIAN ODONNELL OD PC · (Female)

NPI # 1194999763
Status Active
Credentials
Entity Individual
Enumeration date 04/15/2008
Last updated 07/25/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # OEG000463
  • PA Medicaid 1012666000001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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