Brasfield, Athena Reyes

Brasfield, Athena Reyes is an individual health care provider with primary practice located at 82227 Us Highway 111 Ste B2 , Indio CA 92201-5668. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Brasfield, Athena Reyes can be contacted via phone (760) 347-6636.

Contact Information

Primary practice address
82227 Us Highway 111 Ste B2 Indio CA 92201-5668
Phone: (760) 347-6636
Fax: (760) 342-5987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 13362 California

Profile Details

NPI number 1104026962
LBN Legal business name Brasfield, Athena Reyes
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Jul 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104026962 NPPES
California Other SD0113621 MEDICARE PIN
California Other SD0113620 MEDICARE PIN

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