Provider Demographics
NPI:1891834040
Name:SETHI, ANIL KUMAR (OD)
Entity Type:Individual
Prefix:DR
First Name:ANIL
Middle Name:KUMAR
Last Name:SETHI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 PENINSULA POINT DR
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-6516
Mailing Address - Country:US
Mailing Address - Phone:831-393-9735
Mailing Address - Fax:
Practice Address - Street 1:2440 FREMONT ST STE 209
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6850
Practice Address - Country:US
Practice Address - Phone:831-375-3937
Practice Address - Fax:866-585-6553
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10808T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
GS354ZMedicare PIN