Nick C Kazarian, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

07240-T Issued in CA

Practice address

5786 S Elm Ave
Fresno, CA 93706-5813

Phone

(559) 486-0731

Fax

(559) 486-0122

NPI assigned

Oct 20, 2006

Last updated

Dec 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Nick C Kazarian

  • Optometrist
  • Fresno, CA
  • NPI 1427244292
  NPD (past) Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1053493759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5786 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065813",
            "telephone_number": "559-486-0731",
            "fax_number": "559-486-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5786 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065813",
            "telephone_number": "559-486-0731",
            "fax_number": "559-486-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZARIAN",
        "first_name": "NICK",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "07240-T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "07240T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD VISION HMO PLAN",
            "identifier": "45386",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "02220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION PLAN",
            "identifier": "211379",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD PPO PLAN",
            "identifier": "49815",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0072400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Zulema Kawakami
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• David Brett Kaye, M.D.
• Nareh Kazariane, PHARMD
• Anna Kazaryan, M.D.
• Noyeme Kazaryan, RPH
• Eiman R Kazi, DO
• Kcastillo Marriage Family Child Therapy Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.