| Gary L Etting Od An Optometric Corp | |
|
6345 Balboa Blvd, Bldg 3 Suite 250, Encino, CA 91316 | |
| (818) 344-3937 | |
| (818) 344-1229 |
| Full Name | Gary L Etting Od An Optometric Corp |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6345 Balboa Blvd, Encino, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306950829 | NPI | - | NPPES |
| WOP5519A | Other | CA | OTHER MEDICARE PTAN |
| Provider Name | Gary Etting |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912969619 PECOS PAC ID: 5890728190 Enrollment ID: I20110805000683 |
| Provider Name | Sandy Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801205638 PECOS PAC ID: 1355648924 Enrollment ID: I20160324002040 |
| Provider Name | Elizabeth Nace |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720561855 PECOS PAC ID: 5092116418 Enrollment ID: I20210623001259 |
| Provider Name | Shawn M Joseph |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013457464 PECOS PAC ID: 2860762457 Enrollment ID: I20210729002023 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Etting Od An Optometric Corp 6345 Balboa Blvd, Bldg 3 Suite 250, Encino, CA 91316 Ph: (818) 344-3937 | Gary L Etting Od An Optometric Corp 6345 Balboa Blvd, Bldg 3 Suite 250, Encino, CA 91316 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 | |
Lilia Babakhan, Optometrist Medicare: Medicare Enrolled Practice Location: 16311 Ventura Blvd Ste 750, Encino, CA 91436 Phone: 818-990-3623 | |
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 |