| Dr Monica Etniel, OD | |
|
52565 Cesar Chavez St Ste 105, Coachella, CA 92236-1534 | |
| (760) 347-6636 | |
| (844) 833-6644 |
| Full Name | Dr Monica Etniel |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 52565 Cesar Chavez St Ste 105, Coachella, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316321912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 15345TLG (California) | Primary |
| Provider Name | Athena Brasfield Od, A Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821441221 PECOS PAC ID: 0749577088 Enrollment ID: O20160929001680 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Monica Etniel, OD 15645 Odyssey Dr, Granada Hills, CA 91344-3276 Ph: (818) 205-8588 | Dr Monica Etniel, OD 52565 Cesar Chavez St Ste 105, Coachella, CA 92236-1534 Ph: (760) 347-6636 |
Mark A Gillispie O D Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 52565 Harrison St., Suite 105, Coachella, CA 92236 Phone: 760-398-1500 Fax: 760-398-8474 | |
Mrs. Lilia F Armijo, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 52565 Harrison St Ste 106, Coachella, CA 92236 Phone: 760-398-2000 Fax: 760-398-2011 | |
Javier Armijo, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 52565 Harrison St Ste 106, Coachella, CA 92236 Phone: 760-398-2000 Fax: 760-398-2011 |