National Provider Identifier Database

PHILIP T ETCHELLS, OD – NPI #1245348465
Optometrist

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.


Contact Information

PHILIP T ETCHELLS, OD
13692 APPLE VALLEY RD
# 170
APPLE VALLEY, CA92308
Phone: 760-961-1919
Fax: 760-961-1907
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for PHILIP T ETCHELLS

NPI Number 1245348465
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/28/2006
Last updated 05/02/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 5518T
  • CA Medicaid: SD005181
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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