Provider Demographics
NPI:1861407538
Name:EBRIGHT, PATRICIA A (OD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
Last Name:EBRIGHT
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:127 HOSPITAL DR
Mailing Address - Street 2:STE 201
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2500
Mailing Address - Country:US
Mailing Address - Phone:707-554-3101
Mailing Address - Fax:707-554-2402
Practice Address - Street 1:127 HOSPITAL DR
Practice Address - Street 2:STE 201
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2500
Practice Address - Country:US
Practice Address - Phone:707-554-3101
Practice Address - Fax:707-554-2402
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA10848T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU76796Medicare UPIN
CASD0108480Medicare PIN