Organization
NEW ERA EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DAVID O'DONNELL M.S., O.D. (OWNER/OPTOMETRIST)
(570) 793-1241
Entity
Organization
Contact information
Practice address
1324 MEMORIAL HWY, SHAVERTOWN, PA 18708-1545
(570) 704-3993
(570) 704-3998
Mailing address
1324 MEMORIAL HWY, SHAVERTOWN, PA 18708-1545
(570) 704-3993
(570) 704-3998
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
10/16/2014
Last updated
10/27/2014
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