| Lan O'donnell, OD, MS | |
|
870 Mack Bayou Rd, Santa Rosa Beach, FL 32459-7150 | |
| (850) 622-4000 | |
| (850) 622-0072 |
| Full Name | Lan O'donnell |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 870 Mack Bayou Rd, Santa Rosa Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831286111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 3968 (Florida) | Primary |
| Provider Name | Lan Q O'donnell Od Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356438634 PECOS PAC ID: 4082042890 Enrollment ID: O20200310000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Lan O'donnell, OD, MS 870 Mack Bayou Rd, Santa Rosa Beach, FL 32459-7150 Ph: (850) 622-4000 | Lan O'donnell, OD, MS 870 Mack Bayou Rd, Santa Rosa Beach, FL 32459-7150 Ph: (850) 622-4000 |
Lan Q. O'donnell, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 6757 Us Highway 98 W Ste 101, Santa Rosa Beach, FL 32459 Phone: 850-622-4000 Fax: 850-622-0072 | |
Optikk 30a, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 2050 W County Highway 30a, M1-119, Santa Rosa Beach, FL 32459 Phone: 850-608-3135 | |
Dr. Korrie Lynn Lalim, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2050 W County Highway 30a, Ste 119, Santa Rosa Beach, FL 32459 Phone: 850-608-3135 |