Gail Ann O'Donnell
Individual provider Active NPI Optician · Holland, NY
NPI 1457565137 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457565137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 004492-1 (NY)
- Practice address
- 23 North Main St.
Holland, NY 14080 - Phone
- (716) 537-2222
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004492-1 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Eye Center | Past | Accepting new patients | |
| Christopher Couzins Optometry PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 004492-1 | NY | Yes |
Addresses
Primary practice location
23 North Main St.
Holland, NY 14080
Mailing address
3662 Abbott Rd.
Orchard Park, NY 14127
Phone (716) 825-1749
Other providers in Holland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.