Gerald T Pittler O. D. Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6321 Issued in CA

Legal business name

GERALD T PITTLER O. D. INC.

Doing business as

Lakeville Eye Care

Practice address

855 Lakeville St
Suite 102
Petaluma, CA 94952-7327

Phone

(707) 763-1423

Fax

(707) 981-4582

NPI assigned

Nov 8, 2010

Organization subpart

Yes

Parent organization

GERALD T PITTLER O. D. INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gerald T Pittler, ODNPI 1699708727

Title

President

Phone

(707) 763-1423

Specialties & licenses 2

Addresses

Other names 1

• Lakeville Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Gerald T Pittler O D Inc

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Thomas Pittler, O.D.

  • Optometrist
  • Petaluma, CA
  • NPI 1699708727
  Medicare reassignment Authorized official
• Htoo Htoo Lu, OD

  • Optometrist
  • Petaluma, CA
  • NPI 1811547656
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1033410014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 LAKEVILLE ST",
            "address_2": "SUITE 102",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949527327",
            "telephone_number": "707-763-1423",
            "fax_number": "707-981-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 LAKEVILLE ST",
            "address_2": "SUITE 102",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949527327",
            "telephone_number": "707-763-1423",
            "fax_number": "707-981-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD T PITTLER O. D. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GERALD T PITTLER O. D. INC.",
        "enumeration_date": "2010-11-08",
        "last_updated": "2023-01-12",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "PITTLER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-763-1423",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6321",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "6321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeville Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Foster Gaston, M.D.
• Yesenia Gaytan
• Guadalupe Geary Tinoco
• Donna C Geiger, FNP
• Cindy Anne George, D.C.
• Heather Ghiglieri, LCSW
• Kelsey Gielen
• Jashan Gill
• Anthony Merrell Gillespie
• April Leigh Gilliam

• Optometrist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.