PHILIP TANNER ETCHELLS OD
NPI 1245348465
Optometrist in Apple Valley, CA

Active since August 28, 2006
13692 APPLE VALLEY RD, # 170, APPLE VALLEY, CA 92308(760) 961-1919(760) 961-1907 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip Tanner Etchells Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP TANNER ETCHELLS OD (NPI 1245348465) is an individual optometrist in Apple Valley, California, licensed in California (5518T) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1245348465
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePHILIP TANNER ETCHELLSCredential: OD
Location Address13692 APPLE VALLEY RD, # 170Apple Valley, CA 92308
Mailing Address13692 Apple Valley Rd, # 170Apple Valley, CA 92308 · (760) 961-1919 · Fax (760) 961-1907
Fax(760) 961-1907
Sole ProprietorYes
Enumeration DateAugust 28, 2006
Last NPPES UpdateMay 2, 2013
NPI 1245348465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 5518T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
13692 APPLE VALLEY RD, Apple Valley, CA 92308

Other Identifiers 5

Medicare PINGQ888ACA
Medicare ID-Type UnspecifiedSD0055180
MedicaidSD005181CA
Medicare NSC5292930001CA
Medicare UPINT70035

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
13692 APPLE VALLEY RD, SUITE 170
APPLE VALLEY, CA 92308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Etchells's NPI number?

The NPI number for Philip Etchells is 1245348465. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Philip Etchells located?

Philip Etchells practices at 13692 Apple Valley Rd # 170, Apple Valley, CA 92308. The listed phone number is (760) 961-1919.

What is Philip Etchells's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Philip Etchells accept?

Health plans from BlueCross BlueShield of Tennessee list Philip Etchells as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philip Etchells was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.