National Provider Identifier Database

APPLE VALLEY EYEWEAR INC
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

APPLE VALLEY EYEWEAR, INC.
13692 APPLE VALLEY RD
SUITE 170
APPLE VALLEY, CA92308-4561
Phone: 760-961-1919
Fax: 760-961-1907
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for APPLE VALLEY EYEWEAR, INC.

NPI Number 1346548237
Legal business name
LBN
APPLE VALLEY EYEWEAR, INC.
Authorized official PHILIP ETCHELLS - (OWNER/ PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/02/2011
Last updated 04/29/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 5518T
  • CA Medicaid: SD0055181

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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