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GARY L ETTING OD AN OPTOMETRIC CORP NPI 1306950829


NPI Information

NPI: 1306950829
Provider Name: GARY L ETTING OD AN OPTOMETRIC CORP
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
6345 BALBOA BLVD
BLDG 3 SUITE 250
ENCINO, CA
ZIP 91316
Phone: (818) 344-3937
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GARY L ETTING OD AN OPTOMETRIC CORP is an optometrist in Encino, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. GARY L ETTING OD AN OPTOMETRIC CORP NPI is 1306950829. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6345 BALBOA BLVD
BLDG 3 SUITE 250
ENCINO, CA
ZIP 91316
Phone: (818) 344-3937
Fax: (818) 344-1229

The provider's authorized official is Gary L Etting .
The authorized official title is Owner and has the following contact phone number (818) 344-3937.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 12/2/2014.


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
1152WV0400XOptometristVision TherapyOPT 5519 TCALIFORNIANo
2152W00000XOptometristOPT 5519 TCALIFORNIANo
3152W00000XOptometristOPT5519CALIFORNIAYes

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
1WY3364MEDICARE PINCALIFORNIA
2WOP5519AOTHERCALIFORNIAOTHER MEDICARE PTAN
3WY3364MEDICARE UPINCALIFORNIA
4CB220386MEDICARE PINCALIFORNIA

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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