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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

NPI # 1194999763
LBN Legal business name BRIAN ODONNELL, OD PC
Authorized official BRIAN O'DONNELL - (OWNER/DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2008
Last updated 07/25/2008 - About 18 years ago
Identifiers
PA License # OEG000463
PA Medicaid 1012666000001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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