Individual provider · NPI-1

Dr. Athena Reyes Brasfield, O.D.

Optometrist · Indio, CA

NPI number1104026962
StatusActive
Last updated in NPPESJul 30, 2022

Details

NPI
1104026962
Entity type
Individual (NPI-1)
Name
Dr. Athena Reyes Brasfield
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2007
Certification date
Jul 30, 2022
Last updated
Jul 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist13362CAYes

Other names

  • Athena Renee Reyes (Former Name)

Practice location

82227 Us Highway 111 Ste B2
Indio, CA 92201-5668

Phone 760-347-6636 · Fax 760-342-5987

Mailing address

82227 Us Highway 111 Ste B2
Indio, CA 92201-5668

Phone 760-347-6636 · Fax 760-342-5987

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