PHILIP TANNER ETCHELLS (NPI# 1245348465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245348465 |
| Entity Type | Individual |
| Full Name | PHILIP TANNER ETCHELLS |
| Credential | OD |
| Practice Address |
13692 Apple Valley Rd # 170 Apple Valley CA 92308 |
| Practice Telephone | 7609611919 |
| Practice Fax Number | 7609611907 |
| Mailing Telephone | 7609611919 |
| Mailing Fax Number | 7609611907 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2013-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5518T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD005181 | 05 |
| Street Address |
13692 APPLE VALLEY RD # 170 |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346548237 | Apple Valley Eyewear, Inc. | Eyewear Supplier (Equipment, not the service) | 13692 Apple Valley Rd, Suite 170, Apple Valley, CA 92308-4561 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831850 | Lisa K Frandsen | Behavioral Analyst | 19794 Poppy Rd, Apple Valley, CA 92308 | 2020-08-14 |
| 1518484195 | Jennifer Redwine | Behavioral Analyst | 1905 Business Center Drive South, Unit 100, San Bernardino, CA 92308 | 2017-08-24 |
| 1508397100 | West Care Transportation | Non-emergency Medical Transport (VAN) | 15480 Straight Arrow Rd #b, Apple Valley, CA 92308 | 2017-03-24 |
| 1811346497 | E Kim Dental Corp | Dentist | 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 | 2016-06-06 |
| 1134575376 | Seth Owuor | Pharmacist | 14426 Palmdale Road, Victorville, CA 92308 | 2016-05-06 |
| 1043608763 | Kamal Ebadpour | Adult Companion | 13224 Iroquois Road, Apple Valley, CA 92308 | 2015-01-05 |
| 1487099669 | Hateem Siddiqui | Internal Medicine | 19059 Bear Valley Rd # 3, Apple Valley, CA 92308 | 2013-05-01 |
| 1225305618 | Edward N. Sianipar | Nurse Practitioner | 19059 Bear Valley Rd., #1, Apple Valley, CA 92308 | 2011-11-29 |
| 1043508559 | Southern California Primary Medical Inc | Clinic/Center | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 | 2011-07-18 |
| 1396070959 | Asghar Ali Rajani | Registered Nurse | 19059 Bear Valley Road, Apple Valley, CA 92308 | 2009-10-14 |
| Find all providers in zip 92308 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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. 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975037 | Juliane Lee,o.d.,a Professional Corporation | Optometrist | 19071 Bear Valley Rd Ste 3, Apple Valley, CA 92308-2718 | 2020-09-02 |
| 1083122279 | The Mobileyes Foundation | Optometrist | 13790 Cochise Rd, Apple Valley, CA 92307-6002 | 2018-01-22 |
| 1083142251 | Robert Owen Anderson | Optometrist | 15160 Foliage Ave Ste 180, Apple Valley, MN 55124-5916 | 2017-05-31 |
| 1851522338 | Sarah K Ebeling | Optometrist | 7789 147th St. W, Apple Valley, MN 55124 | 2009-08-02 |
| 1174648687 | Jaehoon Lee | Optometrist | 19179 Bear Valley Rd, #10, Apple Valley, CA 92308-2724 | 2007-03-21 |
| 1639245988 | Reed Madsen Powell Jr. | Optometrist | 21660 Bear Valley Rd, F-2, Apple Valley, CA 92308-7226 | 2006-11-28 |
| 1720161565 | Donald Arthur Yochem | Optometrist | 21825 Outer Hwy 18, Suite A, Apple Valley, CA 92307 | 2006-10-23 |
| 1841249729 | Steven B Wallis | Optometrist | 15972 Tuscola Rd, Suite 101, Apple Valley, CA 92307 | 2006-05-09 |
| 1588637078 | Patrick J Wellik | Optometrist | 7789 147th St W, Apple Valley, MN 55124 | 2006-02-07 |
| 1710455225 | Advanced Eyecare Apple Valley Inc. | Optometrist | 15160 Foliage Ave Ste 180, Apple Valley, MN 55124-5916 | 2018-11-02 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 92308 |
Please comment or provide details below to improve the information on PHILIP TANNER ETCHELLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.