Bazin, Mary Beth
Bazin, Mary Beth is an sole proprietor health care provider with primary practice located at 1441 E 104Th St Bldg. 3 - Suite 103, Kansas City MO 64131-4634. She recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Bazin, Mary Beth can be contacted via phone (816) 333-1500.Contact Information
Primary practice address
1441 E 104Th St Bldg. 3 - Suite 103
Kansas City MO 64131-4634
Phone: (816) 333-1500
Fax: (816) 943-0885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T03320 | Missouri |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | T03320 | Missouri |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | T03320 | Missouri |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | T03320 | Missouri |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | T03320 | Missouri |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | T03320 | Missouri |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | T03320 | Missouri |
Profile Details
| NPI number | 1154421402 |
|---|---|
| LBN Legal business name | Bazin, Mary Beth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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