Gilbreath & Park Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT7782T Issued in CA

Legal business name

GILBREATH & PARK OPTOMETRY INC

Practice address

102 Scott St
Ukiah, CA 95482-4316

Phone

(707) 462-7040

NPI assigned

Aug 13, 2007

Last updated

Jul 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marilyn K GilbreathNPI 1790772200

Title

Optometrist

Phone

(707) 462-7040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marilyn K. Gilbreath, O.D.

  • Optometrist
  • Ukiah, CA
  • NPI 1790772200
  Authorized official Same address or phone
• David L Park, O.D., M.S.

  • Optometrist
  • Ukiah, CA
  • NPI 1558358937
  NPD (past)
• Eric Keoni Vierra, O.D.

  • Optometrist
  • Santa Rosa, CA
  • NPI 1609042811
  NPD (past)
• Rajwinder Gill, OD

  • Optometrist
  • Kailua Kona, HI
  • NPI 1841262037
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1245422310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SCOTT ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824316",
            "telephone_number": "707-462-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SCOTT ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824316",
            "telephone_number": "707-462-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBREATH & PARK OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "GILBREATH",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "707-462-7040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7782T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Thomas Gherini, M.D.
• Binita Ghosh
• Marquez Willis Gibson Jr.
• Gabriel Gifford
• Glenn Eric Gifford, PA-C
• Marilyn K. Gilbreath, O.D.
• Crystyna Raeann Gillespie, MSW
• Mary Glanders
• Molly Ellen Gleeson, LM, LICENSED MIDWIFE
• Shelby Goates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.