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Active NPI 1245348465 Individual Practitioner Male Practitioner

Dr. Philip Tanner Etchells , OD

Optometrist • Apple Valley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Philip Etchells, OD is a registered healthcare professional specializing in Optometrist in Apple Valley, CA. Practice services are available at 13692 APPLE VALLEY RD under active NPI credentials.

Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13692 Apple Valley Rd
# 170

Apple Valley, CA 92308

Telephone 7609611919
Fax 7609611907
Associated Practice Facility / Clinic
🏢 Apple Valley Eyewear, Inc. Facility NPI 1346548237

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Apple Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Apple Valley, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
25 25 $93.92 $53.18
92014 Established patient complete exam of visual system
21 21 $113.00 $111.36

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 5518T

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
SD005181 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2013

Registered at 13692 APPLE VALLEY RD, # 170, APPLE VALLEY, CA 92308 (Tel: 7609611919)

📍
Updated Business Mailing Address May 02, 2013

Registered at 13692 APPLE VALLEY RD, # 170, APPLE VALLEY, CA 92308 (Tel: 7609611919)

👤
Provider Name / Credentials Updated May 02, 2013

Recorded as PHILIP ETCHELLS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2013

Optometrist (License #5518T in CA)

🟢
Initial NPI Registration & Enumeration August 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245348465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2006
Last Update: May 02, 2013
Sole Proprietor: Yes

Mailing Address

13692 Apple Valley Rd, # 170

Apple Valley, CA 92308

Phone: 7609611919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.