Provider Demographics
NPI:1407964430
Name:RAPPA, LINDA B (OD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:B
Last Name:RAPPA
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:5959 GREENBACK LN STE 130
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-4700
Mailing Address - Country:US
Mailing Address - Phone:916-726-1818
Mailing Address - Fax:916-726-1822
Practice Address - Street 1:5959 GREENBACK LANE #130
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621
Practice Address - Country:US
Practice Address - Phone:916-726-1818
Practice Address - Fax:916-726-1822
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2014-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYOPT 13095152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV10726Medicare UPIN