Active NPI
Patricia A Ebright, O.D.
- Optometrist
- Vallejo, CA
National Provider Identifier
1861407538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10848T
- Practice address
- 127 Hospital Dr
Ste 201
Vallejo, CA 94589-2500 - Phone
- (707) 554-3101
- Fax
- (707) 554-2402
- NPI assigned
- Jul 30, 2006
- Last updated
- Jan 25, 2024
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10848T | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
127 Hospital Dr
Suite 201
Vallejo, CA 94589-2500
Phone (707) 554-3101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10848T | CA | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Liberman & Ebright, Optometry
- Optometrist
- Vallejo, CA
- NPI 1649317207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1861407538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 HOSPITAL DR",
"address_2": "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",
"address_2": "STE 201",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892500",
"telephone_number": "707-554-3101",
"fax_number": "707-554-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBRIGHT",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10848T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Elizabeth Eatmon
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- Stephanie M. Eden, MD
- Editha M. Aquino D.M.D. Professional Dental Corporation
- Casnique Edmondson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.