Gary L Etting, OD | |
6345 Balboa Blvd, Bldg Iii, Suite 250, Encino, CA 91316-1519 | |
(818) 344-3937 | |
(818) 344-1229 |
Full Name | Gary L Etting |
---|---|
Gender | Male |
Speciality | Optometrist - Vision Therapy |
Location | 6345 Balboa Blvd, Encino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912969619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WV0400X | Optometrist - Vision Therapy | OPT5519T (California) | Primary |
Provider Name | Gary L Etting Od An Optometric Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306950829 PECOS PAC ID: 8729010152 Enrollment ID: O20050907000601 |
Mailing Address | Practice Location Address |
---|---|
Gary L Etting, OD 6345 Balboa Blvd, Bldg Iii, Suite 250, Encino, CA 91316-1519 Ph: (818) 344-3937 | Gary L Etting, OD 6345 Balboa Blvd, Bldg Iii, Suite 250, Encino, CA 91316-1519 Ph: (818) 344-3937 |
Encino Optometric Center Corp. Optometrist Medicare: Medicare Enrolled Practice Location: 16550 Ventura Blvd Ste 312, Encino, CA 91436 Phone: 818-986-8860 | |
Dr. Shawn M Joseph, Optometrist Medicare: Medicare Enrolled Practice Location: 6345 Balboa Blvd Ste 250, Encino, CA 91316 Phone: 818-344-3937 | |
Dr. Mary Demirjian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 17283 Ventura Blvd, Encino, CA 91316 Phone: 818-990-0300 Fax: 818-990-4854 | |
Dr. Harry E Enenstein, O. D. Optometrist Medicare: Medicare Enrolled Practice Location: 17310 Ventura Blvd, Encino, CA 91316 Phone: 818-728-6800 | |
Sara Sheila Banilohi, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16311 Ventura Blvd Ste 750, Encino, CA 91436 Phone: 818-990-3623 | |
Joseph & Nace Optometric Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 6345 Balboa Blvd, Bldg 3 Ste 250, Encino, CA 91316 Phone: 818-344-3937 Fax: 818-344-1229 | |
Dr. Sarah Reyes Haakonsen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16311 Ventura Blvd Ste 750, Encino, CA 91436 Phone: 818-990-3623 Fax: 818-788-5601 |