Dr Marvin L Baza Optometrist PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DR MARVIN L BAZA OPTOMETRIST PC

Practice address

4415 Crenshaw Rd
Pasadena, TX 77504-3628

Phone

(281) 998-2020

Fax

(281) 998-2246

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marvin L. Baza Jr., O.D.

Title

Owner

Phone

(281) 998-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1497926554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8020",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775088020",
            "telephone_number": "281-998-2020",
            "fax_number": "281-998-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 CRENSHAW RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043628",
            "telephone_number": "281-998-2020",
            "fax_number": "281-998-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARVIN L BAZA OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "BAZA",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-998-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.