Provider Demographics
NPI:1235491515
Name:O'BRIAN, WHITNEY (OD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:
Last Name:O'BRIAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 W PARKER RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29617-2123
Mailing Address - Country:US
Mailing Address - Phone:864-246-0964
Mailing Address - Fax:864-246-2757
Practice Address - Street 1:2304 W PARKER RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29617
Practice Address - Country:US
Practice Address - Phone:864-246-0964
Practice Address - Fax:864-246-2757
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1706152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist