Organization Active NPI

Nick C Kazarian

  • Optometrist
  • Fresno, CA
National Provider Identifier
1427244292
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07240-T Issued in CA
Legal business name
NICK C KAZARIAN
Practice address
5786 S Elm Ave
Fresno, CA 93706-5813
Phone
(559) 486-0731
Fax
(559) 486-0122
NPI assigned
Sep 14, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Nick C Kazarian, O.D.NPI 1053493759
Title
Owner
Phone
(559) 486-0731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 07240-T CA Primary

Addresses

Primary practice location

5786 S Elm Ave
Fresno, CA 93706-5813

Mailing address

5786 S Elm Ave
Fresno, CA 93706-5813
Phone (559) 486-0731

Other identifiers 4

IdentifierTypeStateIssuer
02220OtherCAMEDICAL EYE SERVICES
45386OtherCASAFEGUARD VISION
SD0072400MedicaidCA
211379OtherCAEYEMED VISION

National Provider Directory

National Provider Directory

Locations

5786 S Elm Ave
Fresno, CA 93706
Phone (559) 486-0731

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1427244292",
    "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": {
        "organization_name": "NICK C KAZARIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KAZARIAN",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-486-0731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "07240-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "02220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD VISION",
            "identifier": "45386",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0072400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION",
            "identifier": "211379",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.