Bob L Lazer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001149 Issued in PA

Practice address

120 W Penn St
Bedford, PA 15522-1223

Phone

(814) 623-5018

Fax

(814) 623-7718

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Practice roles

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

• Janidlo Optometry PC

  • Clinic/Center
  • Bedford, PA
  • NPI 1255841565
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1508850702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W PENN ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221223",
            "telephone_number": "814-623-5018",
            "fax_number": "814-623-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PENN ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221223",
            "telephone_number": "814-623-5018",
            "fax_number": "814-623-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZER",
        "first_name": "BOB",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "LA435357",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Klepitch
• Angela Knopsnyder, RN
• Kristen Koontz
• Noah Jacob Laird, BS
• Angela Lambert, MS, RN
• Jennifer Ann Leibfreid, PHARMD
• Lem4, LTD
• Lem4, LTD
• Julie K Lesh-Wertz, D.C.
• Jenny Sue Lewis

• Optometrist in Bedford, PA
• Providers in Bedford, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.