APPLE VALLEY EYEWEAR, INC.; NPI #1346548237

Contact Information

APPLE VALLEY EYEWEAR, INC.

13692 APPLE VALLEY RD
SUITE 170
APPLE VALLEY, CA 92308-4561

Phone: 760-961-1919
Fax: 760-961-1907
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for APPLE VALLEY EYEWEAR, INC.

NPI Number 1346548237

LBN Legal business name APPLE VALLEY EYEWEAR, INC.

Authorized official PHILIP ETCHELLS - (OWNER/ PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/02/2011

Last updated 04/29/2013 - About 13 years ago

Identifiers

CA	License #	5518T
CA	Medicaid	SD0055181

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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APPLE VALLEY EYEWEAR, INC.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for APPLE VALLEY EYEWEAR, INC.

Reviews for APPLE VALLEY EYEWEAR, INC.