Apple Valley Eyewear, Inc.
NPI #1346548237 in Apple Valley, California
Provider Information
- NPI Number
- 1346548237
- Entity Type
- Organization
- Organization Name
- Apple Valley Eyewear, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Mar 2, 2011
- Last Updated
- Apr 29, 2013
Practice Location
- Address
- 13692 APPLE VALLEY RD
- Address 2
- SUITE 170
- City
- Apple Valley
- State
- California
- ZIP Code
- 92308-4561
- Phone
- (760) 961-1919
Authorized Official
- Name
- DR. PHILIP TANNER ETCHELLS, O.D.
- Title
- OWNER/ PRESIDENT
- Phone
- (760) 961-1919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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