| Patricia Ebright, O.d., Inc | |
| 
					127 Hospital Dr Ste 201, Vallejo, CA 94589-2500  | |
| (707) 554-3101 | |
| (707) 554-2402 | 
| Full Name | Patricia Ebright, O.d., Inc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 127 Hospital Dr Ste 201, Vallejo, California | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649317207 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 4976 T (California) | Secondary | 
| 152W00000X | Optometrist | 10914 T (California) | Secondary | 
| 152W00000X | Optometrist | 10848 T (California) | Primary | 
| Provider Name | Patricia Ebright | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1861407538 PECOS PAC ID: 0648362293 Enrollment ID: I20070827000876  | 
| Provider Name | Monique H Bennett | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1891489639 PECOS PAC ID: 1658730676 Enrollment ID: I20230707003015  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Patricia Ebright, O.d., Inc 127 Hospital Dr Ste 201, Vallejo, CA 94589-2500 Ph: (707) 554-3101  | Patricia Ebright, O.d., Inc 127 Hospital Dr Ste 201, Vallejo, CA 94589-2500 Ph: (707) 554-3101  | 
Gary Duane Maas, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 675 Sereno Dr., Vallejo, CA 94589 Phone: 707-651-2990 Fax: 707-651-2948  | |
Laura E Schrupp, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2852 Redwood Pkwy, Vallejo, CA 94591 Phone: 707-553-8222 Fax: 707-553-1154  | |
Dr. Keith Daniel Kamei, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 198 Plaza Dr, Vallejo, CA 94591 Phone: 707-552-0602  | |
Dr. Walter Lewis Balding, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2585 Fax: 707-651-2948  | |
Arthur Jinyoung Park, OD Optometrist Medicare: Medicare Enrolled Practice Location: 173 Plaza Dr, Vallejo, CA 94591 Phone: 707-917-4053  | |
Anyika Butterfly, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Kaiser Permanente, Vallejo, CA 94589 Phone: 707-651-1085  | |
Mr. Thomas C Cushing, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2852 Redwood Pkwy, Vallejo, CA 94591 Phone: 707-553-8222 Fax: 707-553-1154  |