New Era Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000463 Issued in PA

Legal business name

NEW ERA EYE CARE LLC

Practice address

1324 Memorial Hwy
Shavertown, PA 18708-1545

Phone

(570) 704-3993

Fax

(570) 704-3998

NPI assigned

Oct 16, 2014

Last updated

Oct 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian David O'Donnell, M.S., O.D.NPI 1033118427

Title

Owner/Optometrist

Phone

(570) 793-1241

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian David Odonnell, O.D.

  • Optometrist
  • Shavertown, PA
  • NPI 1033118427
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1851795058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 MEMORIAL HWY",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081545",
            "telephone_number": "570-704-3993",
            "fax_number": "570-704-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 MEMORIAL HWY",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081545",
            "telephone_number": "570-704-3993",
            "fax_number": "570-704-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ERA EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "570-793-1241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S., O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012666000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Masters, PHARM.D.,RPH
• Riley Claire McLaughlin, PA
• Mid Valley Supply LLC
• Debra Thompson Miller, M.D.
• Sara E Nardone, PH.D.
• Kristine Nocito
• Gary Nothstein, D.O.
• John O'Donnell, RPH
• Brian David Odonnell, O.D.
• Krishnakant A Patel, MD

• Optometrist in Shavertown, PA
• Providers in Shavertown, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.