Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary L Etting OD an Optometric Corp

Organization Optometrist · NPI 1306950829

Gary L Etting OD an Optometric Corp is an Optometrist in Encino, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6345 Balboa Blvd Bldg 3 Ste 250
Encino, CA 91316
Phone: (818) 344-3937
Fax: (818) 344-1229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT5519 (CA)
Optometrist Taxonomy 152W00000X · Licence OPT 5519 T (CA)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence OPT 5519 T (CA)

Record details

NPI number1306950829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Etting — Owner · (818) 344-3937
NPI enumeratedAugust 19, 2006
Last updated in NPPESDecember 2, 2014
Mailing address6345 Balboa Blvd, Bldg 3 Suite 250, Encino, CA 91316

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