Joseph M Bazarte, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC001596 Issued in FL

Practice address

1611 Lisenby Ave
Panama City, FL 32405-3711

Phone

(850) 913-0000

Fax

(850) 785-1988

NPI assigned

Jan 12, 2007

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 FL

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

State licenses

Practice roles

Locations

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.

• Primary Eye Care Center

  • Optometrist
  • Mary Esther, FL
  • NPI 1477692135
  Medicare reassignment NPD Authorized official
• Primary Eyecare Center, LLC

  • Optometrist
  • Mary Esther, FL
  • NPI 1346993599
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1639229271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 LISENBY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053711",
            "telephone_number": "850-913-0000",
            "fax_number": "850-785-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 LISENBY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053711",
            "telephone_number": "850-913-0000",
            "fax_number": "850-785-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZARTE",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620189000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Walk in Clinic, Inc
• Abdel-Azim Bayoumy, M.D.
• Bayside Neurotherapy, LLC
• Bayside Psychiatry Inc
• Bayside Surgical Associates
• Beach Midway Med Express
• Beach Primary Care LLC
• Beaches Family Practice Center
• Roger A Becker, RPH
• Rosalind Beckton

• Optometrist in Panama City, FL
• Providers in Panama City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.