Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP TANNER ETCHELLS, OD
Active Sole ProprietorPHILIP TANNER ETCHELLS, OD is a Optometrist healthcare provider located in APPLE VALLEY, California. NPI 1245348465 is currently active in the NPPES registry. Verify at CMS.
Optometrist · APPLE VALLEY, CA
Registration Details
- NPI Number
- 1245348465
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2006 (19.779441395774 yrs)
- Last Updated
- May 2, 2013
- License
-
5518T (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13692 APPLE VALLEY RD# 170APPLE VALLEY, CA, 92308Browse CA providers · Browse ZIP 92308
- Phone
- 7609611919
- Fax
- 7609611907
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in APPLE VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| STEVEN B WALLIS | OD | 1841249729 |
| ELAINE LEE | O.D. | 1205934551 |
| DONALD ARTHUR YOCHEM | O.D. | 1720161565 |
| DR. REED MADSEN POWELL JR. | O.D. | 1639245988 |
| DR. JAEHOON LEE | O.D. | 1174648687 |
| KRYSTAL TRUONG | OD | 1811672827 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.