Apple Valley Eyewear, Inc.

LBN: Apple Valley Eyewear, Inc.
Apple Valley Eyewear, Inc. is an health care organization with primary practice located at 13692 Apple Valley Rd Suite 170, Apple Valley CA 92308-4561. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Apple Valley Eyewear, Inc. can be contacted via phone (760) 961-1919, or through Etchells, Philip Tanner via phone (760) 961-1919.

Contact Information

Primary practice address
13692 Apple Valley Rd Suite 170 Apple Valley CA 92308-4561
Phone: (760) 961-1919
Fax: (760) 961-1907
Website:
Map and Directions
Authorized official contact:
Name: Etchells, Philip Tanner Doctor of Optometry (OD)
Phone: (760) 961-1919

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 5518T California

Profile Details

NPI number 1346548237
LBN Legal business name Apple Valley Eyewear, Inc.
DBA Doing business as
Authorized official Etchells, Philip Tanner Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2011
Last updated Apr 29th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346548237 NPPES
California MEDICAID SD0055181

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