Organization
BRIAN ODONNELL, OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN O'DONNELL OD (OWNER/DOCTOR)
(570) 826-8918
Entity
Organization
Contact information
Practice address
226 CAREY AVE, WILKES BARRE, PA 18702-2113
(570) 826-8918
(570) 826-0240
Mailing address
226 CAREY AVE, WILKES BARRE, PA 18702-2113
(570) 826-8918
(570) 826-0240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000463
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012666000001
—
PA
Enumeration date
04/15/2008
Last updated
07/25/2008
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