Gary L Etting Od An Optometric Corp

LBN: Gary L Etting Od An Optometric Corp
Gary L Etting Od An Optometric Corp is an health care organization with primary practice located at 6345 Balboa Blvd Bldg 3 Suite 250, Encino CA 91316. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Gary L Etting Od An Optometric Corp can be contacted via phone (818) 344-3937, or through Etting, Gary L via phone (818) 344-3937.

Contact Information

Primary practice address
6345 Balboa Blvd Bldg 3 Suite 250 Encino CA 91316
Phone: (818) 344-3937
Fax: (818) 344-1229
Website:
Map and Directions
Authorized official contact:
Name: Etting, Gary L Doctor of Optometry (OD)
Phone: (818) 344-3937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 5519 T California
Eye and Vision Services Providers / Optometrist 152W00000X OPT5519 California
Eye and Vision Services Providers / Vision Therapy 152WV0400X OPT 5519 T California

Profile Details

NPI number 1306950829
LBN Legal business name Gary L Etting Od An Optometric Corp
DBA Doing business as
Authorized official Etting, Gary L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Dec 2nd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306950829 NPPES
California Other WOP5519A OTHER MEDICARE PTAN

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