Active NPI
Aura Gross, OPTICIAN
- Optician
- Ukiah, CA
National Provider Identifier
1679763445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- SL5391
- Practice address
- 725 S Dora St
Ukiah, CA 95482-5335 - Phone
- (707) 462-1310
- Fax
- (707) 462-1371
- NPI assigned
- Jul 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | SL5391 | CA | Primary |
Addresses
Primary practice location
725 S Dora St
Ukiah, CA 95482-5335
Mailing address
725 S Dora St
Ukiah, CA 95482-5335
Phone (707) 462-1310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL5391 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1679763445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 S DORA ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825335",
"telephone_number": "707-462-1310",
"fax_number": "707-462-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S DORA ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825335",
"telephone_number": "707-462-1310",
"fax_number": "707-462-1371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "AURA",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "SL5391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.