Brian Odonnell, OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000463 Issued in PA

Legal business name

BRIAN ODONNELL, OD PC

Practice address

226 Carey Ave
Wilkes Barre, PA 18702-2113

Phone

(570) 826-8918

Fax

(570) 826-0240

NPI assigned

Apr 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian O'Donnell, ODNPI 1871166215

Title

Owner/Doctor

Phone

(570) 826-8918

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Odonnell

  • Durable Medical Equipment & Medical Supplies
  • San Jose, CA
  • NPI 1871166215
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1194999763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 CAREY AVE",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022113",
            "telephone_number": "570-826-8918",
            "fax_number": "570-826-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CAREY AVE",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022113",
            "telephone_number": "570-826-8918",
            "fax_number": "570-826-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN ODONNELL, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "570-826-8918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012666000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Brady I
• William F Brazerol, MD
• Amy Brazil Golden
• Brent Smith CRNP
• Herbert C Bressler III, O.D.
• Angela Maria Brigandi
• Myeson Brigerman
• Karen A Briggs, RPH
• Joseph Briskie Jr., DO
• Philip N. Brislin, LCSW

• Optometrist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.