Organization Active NPI

Bazin Optometry, P.C.

  • Occupational Vision Optometrist
  • Kansas City, MO
National Provider Identifier
1245388933
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
T03320 Issued in MO
Legal business name
BAZIN OPTOMETRY, P.C.
Practice address
1441 E 104TH St
Suite 103
Kansas City, MO 64131-4634
Phone
(816) 333-1500
Fax
(816) 943-0885
NPI assigned
Jan 8, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. M. Beth Bazin, O.D.
Title
President
Phone
(816) 333-1500

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03320 MO
Low Vision Rehabilitation Optometrist 152WL0500X T03320 MO
Pediatric Optometrist 152WP0200X T03320 MO
Sports Vision Optometrist 152WS0006X T03220 MO
Vision Therapy Optometrist 152WV0400X T03320 MO
Occupational Vision Optometrist 152WX0102X T03320 MO Primary

Addresses

Primary practice location

1441 E 104TH St
Suite 103
Kansas City, MO 64131-4634

Mailing address

1441 E 104TH St
Suite 103
Kansas City, MO 64131-4634
Phone (816) 333-1500

Other names 1

  • Vision Development Assoc., Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

1441 E 104th St
Ste 103
Kansas City, MO 64131
Phone (816) 333-1500

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245388933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 E 104TH ST",
            "address_2": "SUITE 103",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314634",
            "telephone_number": "816-333-1500",
            "fax_number": "816-943-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 E 104TH ST",
            "address_2": "SUITE 103",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314634",
            "telephone_number": "816-333-1500",
            "fax_number": "816-943-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAZIN OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BAZIN",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-333-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03320",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "T03320",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "T03320",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MO",
            "license": "T03220",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MO",
            "license": "T03320",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MO",
            "license": "T03320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Development Assoc., Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.