O'Dell, Justine J
O'Dell, Justine J is an individual health care provider with primary practice located at 532 Haywood Road , Greenville SC 29607. She recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. O'Dell, Justine J can be contacted via phone (864) 288-7445.Contact Information
Primary practice address
532 Haywood Road
Greenville SC 29607
Phone: (864) 288-7445
Fax: (864) 288-8288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1823 | South Carolina |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1823 | South Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1823 | South Carolina |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1823 | South Carolina |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1823 | South Carolina |
Profile Details
| NPI number | 1003220138 |
|---|---|
| LBN Legal business name | O'Dell, Justine J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2014 |
| Last updated | Dec 1st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003220138 | NPPES |
| South Carolina | MEDICAID | D18238 |
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