Healthcare Provider Details

I. General information

NPI: 1598742512
Provider Name (Legal Business Name): JAMES E O'BRYON O.D., M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

898 BEAVER DR
DU BOIS PA
15801-2512
US

IV. Provider business mailing address

898 BEAVER DR
DU BOIS PA
15801-2512
US

V. Phone/Fax

Practice location:
  • Phone: 814-371-3980
  • Fax: 814-371-8317
Mailing address:
  • Phone: 814-371-3980
  • Fax: 814-371-8317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD428662
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG000605
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: