Active NPI
Bazin Optometry, P.C.
- Occupational Vision Optometrist
- Kansas City, MO
National Provider Identifier
1245388933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- T03320
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
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.