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APPLE VALLEY EYEWEAR INC. NPI 1346548237


NPI Information

NPI: 1346548237
Provider Name: APPLE VALLEY EYEWEAR, INC.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
13692 APPLE VALLEY RD
SUITE 170
APPLE VALLEY, CA
ZIP 92308
Phone: (760) 961-1919
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APPLE VALLEY EYEWEAR, INC. is an eyewear supplier in Apple Valley, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. APPLE VALLEY EYEWEAR, INC. NPI is 1346548237. The provider is registered as an organization entity type.

The provider's business location address is:

13692 APPLE VALLEY RD
SUITE 170
APPLE VALLEY, CA
ZIP 92308-561
Phone: (760) 961-1919
Fax: (760) 961-1907

The provider's authorized official is Philip Tanner Etchells .
The authorized official title is Owner/ President and has the following contact phone number (760) 961-1919.

The enumeration date for this NPI number is 3/2/2011 and was last updated on 4/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier5518TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GQ888AMEDICARE PINCALIFORNIA
2T70035MEDICARE UPINCALIFORNIA
3SD0055181MEDICAIDCALIFORNIA
46493090001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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