A Street Optometric Center PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT4532T Issued in CA

Legal business name

A STREET OPTOMETRIC CENTER PC

Practice address

363 S a St
Oxnard, CA 93030-5804

Phone

(805) 483-6619

Fax

(805) 487-5359

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lawrence Pazen, O.D.

Title

Optometrist Owner

Phone

(805) 320-1438

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robert Pazen, OD, PC Doing business as

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1619019684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 S A ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305804",
            "telephone_number": "805-483-6619",
            "fax_number": "805-487-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 S A ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305804",
            "telephone_number": "805-483-6619",
            "fax_number": "805-487-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A STREET OPTOMETRIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "PAZEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OPTOMETRIST  OWNER",
        "authorized_official_telephone_number": "805-320-1438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT4532T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0045320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Pazen, OD, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 625 North a Street Oxnard Surgery Center, LLC
• John M Abajian, D.D.S.
• Constante U Abaya, MD
• Susan Abdel-Haq
• Joseph Abdelmalak, DPM
• Glen Abergel, M.D.

• All providers in Oxnard, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.