Mayra Carolina Lazo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35599 Issued in CA

Practice address

19636 Sherman Way
Reseda, CA 91335-3647

Phone

(818) 774-2020

NPI assigned

Oct 3, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• El Portal Optometry, Inc

  • Optometrist
  • North Hollywood, CA
  • NPI 1215212626
  Medicare reassignment NPD
• Valley Optometry Eyecare Center, Inc.

  • Optometrist
  • Reseda, CA
  • NPI 1649400920
  Medicare reassignment NPD
• Clear Vision Optometry, Inc.

  • Optometrist
  • North Hollywood, CA
  • NPI 1669666723
  NPD (past)
• Mary Demirjian, O.D., Inc.

  • Optometrist
  • Encino, CA
  • NPI 1366744856
  NPD (past)
• Robert F. Collins

  • Optometrist
  • North Hollywood, CA
  • NPI 1205272820
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1023898566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 CANTLAY ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052002",
            "telephone_number": "818-445-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353647",
            "telephone_number": "818-774-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5269 Lankershim Blvd",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916013111",
            "country_code": "US",
            "telephone_number": "818-769-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24480 Main St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913212873",
            "country_code": "US",
            "telephone_number": "661-505-7133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZO",
        "first_name": "MAYRA",
        "middle_name": "CAROLINA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randie Justine Lander, LMFT
• Ariel L Landrum
• Gina Larco
• Laura K. Ha, O.D. Optometry a Professional Corporation
• Padideh Lavaaldin
• Kevin Thai Hoang Le, DDS
• Stephanie Thu Le, D.C.
• Leadwell Assisted Living, LLC
• Leap of Faith Recovery Center LLC
• Learning Grove Physical Therapy Inc

• Optometrist in Reseda, CA
• Providers in Reseda, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.