DR MARVIN L BAZA OPTOMETRIST PC (NPI# 1497926554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497926554 |
| Entity Type | Organization |
| Organization Name | DR MARVIN L BAZA OPTOMETRIST PC |
| Practice Address |
4415 Crenshaw Rd Pasadena TX 77504-3628 |
| Mailing Address |
Po Box 8020 Pasadena TX 77508-8020 |
| Practice Telephone | 2819982020 |
| Practice Fax Number | 2819982246 |
| Mailing Telephone | 2819982020 |
| Mailing Fax Number | 2819982246 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2012-03-02 |
| Authorized Official Name | DR. MARVIN L. BAZA JR. (OWNER) |
| Authorized Official Telephone | 2819982020 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
4415 CRENSHAW RD |
| City | PASADENA |
| State | TX |
| Zip Code | 77504-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841207974 | Marvin L Baza Jr. | Optometrist | 4415 Crenshaw Rd, Pasadena, TX 77504-3628 | 2006-08-02 |
| 1770118507 | Orvil V Kimball Jr | Optometrist | 4415 Crenshaw Rd, Pasadena, TX 77504-3628 | 2020-03-12 |
| 1518138650 | Orvil V Kimball Jr | Optometrist | 4415 Crenshaw Rd, Pasadena, TX 77504-3628 | 2008-03-17 |
| 1922106806 | Orvil V Kimball Jr. | Optometrist | 4415 Crenshaw Rd, Pasadena, TX 77504-3628 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408149 | Caitlin Demi Valverde | Nurse Practitioner | 3412 Burke Rd Ste 100, Pasadena, TX 77504 | 2019-03-26 |
| 1780164475 | Erin Osmus | Physical Therapist | 3434 Watter, Pasadena, TX 77504 | 2018-08-21 |
| 1184117103 | Lifealysis Kidney Care, LLC | Clinic/Center | 4300 Fairmont Pkwy Ste 100, Pasadena, TX 77504 | 2018-06-13 |
| 1477044253 | Karen Colleen Watkins | Registered Nurse | 3332 Plainview Drive, Pasadena, TX 77504 | 2018-05-28 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1528566890 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Clinic/Center | 4008 Vista Rd. Bldg B Suite B101, Pasadena, TX 77504 | 2018-01-31 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1669911707 | Quetzalli Zavala | Nurse Practitioner | 3326 Watters Rd Bldg B, Pasadena, TX 77504 | 2017-02-22 |
| Find all providers in zip 77504 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902488 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 300 E Colorado Blvd Ste 128, Pasadena, CA 91101-2267 | 2020-11-02 |
| 1518573682 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 8139 Gov Ritchie Hwy, Pasadena, MD 21122-6919 | 2020-09-23 |
| 1023581394 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 106 W Colorado Blvd, Pasadena, CA 91105-1925 | 2019-01-09 |
| 1730619248 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 401 S Lake Ave, Pasadena, CA 91101-3648 | 2017-06-16 |
| 1205288438 | Safety Rx Services & Supply Corp. | Eyewear Supplier (Equipment, not the service) | 2835 E Sam Houston Pkwy S, Pasadena, TX 77503-4015 | 2016-07-12 |
| 1043597693 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1101 E Southmore Ave, Ste. 201, Pasadena, TX 77502-1203 | 2011-11-10 |
| 1093035222 | Eyemasters of Texas, Ltd | Eyewear Supplier (Equipment, not the service) | 5591 Fairmont Pkwy, Pasadena, TX 77505-3807 | 2010-06-10 |
| 1760647184 | Gerald T. Bowns, M.d., A Professional Corporation | Eyewear Supplier (Equipment, not the service) | 10 Congress St Ste 340, Pasadena, CA 91105-3020 | 2008-07-24 |
| 1073668448 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 380 E Colorado Blvd, Paseo Colorado, Pasadena, CA 91101-2248 | 2007-01-24 |
| 1811045149 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3801 E Foothill Bvd, Pasadena, CA 91107-2225 | 2007-01-05 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.