Shane S Obrien, OD

Individual provider Active NPI Optometrist · Quarryville, PA

NPI 1720072705 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1720072705
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
OEG000950 (PA)
Practice address
21 S Church St
Quarryville, PA 17566-1213
Phone
(717) 786-4277
Fax
(717) 786-7624
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OEG000950PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quarryville Eyecare, LLC Optometrist Current
since May 1, 2019
Accepting new patients

Locations

21 S Church St
Quarryville, PA 17566
Phone (717) 786-4277

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000950 PA Yes

Addresses

Primary practice location

21 S Church St
Quarryville, PA 17566-1213

Mailing address

PO Box 487
21 S Church Street
Quarryville, PA 17566-0487
Phone (717) 786-4277

Other identifiers

IdentifierTypeStateIssuer
5011840001OtherDURA MED EQUIP
P0005900OtherRR MEDICARE

Other providers in Quarryville, PA

All providers in Quarryville, PA · Optometrist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.