Gary M Lazarus Od Or Gary M Lazarus Od Phd Faad
LBN: Gary M Lazarus Od Phd Apc
Gary M Lazarus Od Or Gary M Lazarus Od Phd Faad is an health care organization with primary practice located at 806 Manhattan Beach Blvd Suite 103, Manhattan Beach CA 90266-4960. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Gary M Lazarus Od Phd Apc can be contacted via phone (310) 372-2197, or through Lazarus, Gary Marc via phone (310) 372-2197.
Contact Information
Primary practice address
806 Manhattan Beach Blvd Suite 103
Manhattan Beach CA 90266-4960
Phone: (310) 372-2197
Fax: (310) 372-6581
Website:
Authorized official contact:
Name: Lazarus, Gary Marc Doctor of Optometry (OD)
Phone: (310) 372-2197
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5171T | California |
Profile Details
| NPI number | 1083789366 |
|---|---|
| LBN Legal business name | Gary M Lazarus Od Phd Apc |
| DBA Doing business as | Gary M Lazarus Od Or Gary M Lazarus Od Phd Faad |
| Authorized official | Lazarus, Gary Marc Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 9th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083789366 | NPPES |
| California | Other | SD0051710 | BLUE SHILE OF CA |
| California | MEDICAID | 32660VE | BLUE SHILE OF CA |
| California | MEDICAID | SD0051710 | BLUE SHILE OF CA |
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