Individual
DR. ATHENA REYES BRASFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
82227 US HIGHWAY 111 STE B2, INDIO, CA 92201-5668
(760) 347-6636
(760) 342-5987
Mailing address
82227 US HIGHWAY 111 STE B2, INDIO, CA 92201-5668
(760) 347-6636
(760) 342-5987
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0113620
MEDICARE PIN
CA
01
—
SD0113621
MEDICARE PIN
CA
Enumeration date
07/20/2007
Last updated
07/30/2022
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