GARY L. ETTING O.D. NPI 1912969619

NPI Information

NPI: 1912969619
Provider Name: GARY L. ETTING, O.D.
Classification: Optometrist - 152WV0400X
Entity Type: Individual

Specialization: Vision Therapy

PECOS Registration: Yes

Address:
6345 BALBOA BLVD
BLDG III, SUITE 250
ENCINO, CA
ZIP 91316
Phone: (818) 344-3937
Get Directions

Gary L. Etting, O.D. is a vision therapy optometrist in Encino, CA. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. Gary L. Etting, O.D. NPI is 1912969619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6345 BALBOA BLVD
BLDG III, SUITE 250
ENCINO, CA
ZIP 91316-519
Phone: (818) 344-3937
Fax: (818) 344-1229

The NPI 1912969619 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/6/2006 and was last updated on 1/8/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WV0400X	Optometrist	Vision Therapy	OPT5519T	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T10017	MEDICARE UPIN	CALIFORNIA
2	WOP5519A	MEDICARE PIN	CALIFORNIA

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

NPI Synchronization or Removal

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