Patricia Ann Serpa

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D 1956 Issued in CA

Practice address

212 Bon Air Shopping Ctr
Greenbrae, CA 94904-2416

Phone

(415) 461-9222

Fax

(415) 461-3958

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Marie Gordon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gene Serpa'S Luxton Optical Co,Inc

  • Eyewear Supplier
  • Greenbrae, CA
  • NPI 1881825081
  NPD (past) Authorized official
• Personaleyes, Inc

  • Optometrist
  • Greenbrae, CA
  • NPI 1366082398
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1679640072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BON AIR SHOPPING CTR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042416",
            "telephone_number": "415-461-9222",
            "fax_number": "415-461-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BON AIR SHOPPING CTR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042416",
            "telephone_number": "415-461-9222",
            "fax_number": "415-461-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPA",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D 1956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "GORDON",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mindy Schwartz
• Nancy L. Schwartzman, M.D.
• Laura Michelle Sciacca, PHD
• Pradeepa Selvakumar, MD
• Sequoia Living Inc
• Sarah Sevi, RN, NP
• Kevin John Shanaghan, DO
• Michael Samuel Shapiro, MD
• Ripple Sharma, M.D.
• Karin L. Shavelson, MD

• Optician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.