| 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 |
|---|---|
| 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 |
|---|---|---|---|
| 152W00000X | Optometrist | OEG000463 (Pennsylvania) | Primary |
| Provider Name | Brian David Odonnell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033118427 PECOS PAC ID: 3476440736 Enrollment ID: I20150406000048 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |