Organization Active NPI

Patricia Ebright, O.D., Inc

Doing business as Liberman & Ebright, Optometry

  • Optometrist
  • Vallejo, CA
National Provider Identifier
1649317207
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10848 T Issued in CA
Legal business name
PATRICIA EBRIGHT, O.D., INC
Doing business as
Liberman & Ebright, Optometry
Practice address
127 Hospital Dr Ste 201
Vallejo, CA 94589-2500
Phone
(707) 554-3101
Fax
(707) 554-2402
NPI assigned
Jan 31, 2007
Last updated
Jan 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. Patricia EbrightNPI 1861407538
Title
Owner
Phone
(707) 554-3101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4976 T CA
Optometrist 152W00000X 10914 T CA
Optometrist 152W00000X 10848 T CA Primary

Addresses

Primary practice location

127 Hospital Dr Ste 201
Vallejo, CA 94589-2500

Mailing address

127 Hospital Dr Ste 201
Vallejo, CA 94589-2500
Phone (707) 554-3101

Other names 1

  • Liberman & Ebright, Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160120000589 CA Part B Supplier - Clinic/Group Practice 9739482092 Receives reassigned benefits from 2 practitioners
Practice locations: Vallejo, CA

National Provider Directory

National Provider Directory

Locations

127 Hospital Dr
Ste 201
Vallejo, CA 94589
Phone (707) 554-3101

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1649317207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HOSPITAL DR STE 201",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892500",
            "telephone_number": "707-554-3101",
            "fax_number": "707-554-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HOSPITAL DR STE 201",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892500",
            "telephone_number": "707-554-3101",
            "fax_number": "707-554-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA EBRIGHT, O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "EBRIGHT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-554-3101",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4976 T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10914 T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10848 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberman & Ebright, Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.