New Era Eye Care Llc | |
1324 Memorial Hwy, Shavertown, PA 18708-1545 | |
(570) 704-3993 | |
(570) 704-3998 |
Full Name | New Era Eye Care Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 1324 Memorial Hwy, Shavertown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851795058 | NPI | - | NPPES |
1012666000001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OEG000463 (Pennsylvania) | Primary |
Provider Name | Brian David Odonnell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033118427 PECOS PAC ID: 3476440736 Enrollment ID: I20150406000048 |
Mailing Address | Practice Location Address |
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New Era Eye Care Llc 1324 Memorial Hwy, Shavertown, PA 18708-1545 Ph: (570) 704-3993 | New Era Eye Care Llc 1324 Memorial Hwy, Shavertown, PA 18708-1545 Ph: (570) 704-3993 |
Dr. Brian David Odonnell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1324 Memorial Hwy, Shavertown, PA 18708 Phone: 570-704-3993 Fax: 570-704-3998 | |
Dr. Stephen Hurwitz, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18 Tiller Rd, Shavertown, PA 18708 Phone: 570-371-9558 Fax: 570-424-8751 |