Organization Active NPI

John F. Labaza O. D., PLLC

  • Optometrist
  • Lapeer, MI
National Provider Identifier
1508916537
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002702 Issued in MI
Legal business name
JOHN F. LABAZA O. D., PLLC
Practice address
897 Baldwin Rd
Suite a
Lapeer, MI 48446-3384
Phone
(810) 667-9210
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John F. Labaza, O. D.
Title
Principle Partner
Phone
(810) 667-9210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002702 MI Primary

Addresses

Primary practice location

897 Baldwin Rd
Suite a
Lapeer, MI 48446-3384

Mailing address

897 Baldwin Rd
Suite a
Lapeer, MI 48446-3384
Phone (810) 667-9210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508916537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 BALDWIN RD",
            "address_2": "SUITE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463384",
            "telephone_number": "810-667-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 BALDWIN RD",
            "address_2": "SUITE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463384",
            "telephone_number": "810-667-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. LABAZA O. D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LABAZA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRINCIPLE PARTNER",
        "authorized_official_telephone_number": "810-667-9210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.