Active NPI
Burt Jau Mazia, O.D.
- Optometrist
- Bethesda, MD
National Provider Identifier
1659447548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2232
- Practice address
- 7254 Woodmont Ave
Bethesda, MD 20814-2951 - Phone
- (301) 718-2424
- Fax
- (301) 718-2425
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP1000042 | DC | |
| Optometrist | 152W00000X | TA2232 | MD | Primary |
Addresses
Primary practice location
7254 Woodmont Ave
Bethesda, MD 20814-2951
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other practice location 1
1895 L St NW
Washington, DC 20036-3801
Phone (202) 659-3646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP1000042 | DC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Vision Services LLC | Optometrist | Past | Accepting new patients |
| Dosik & Katz Inc | Optometrist | Past | Accepting new patients |
| Optical Gallery Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- Washington, DC
- NPI 1316061005
-
- Optometrist
- Washington, DC
- NPI 1417239856
-
- Optometrist
- Washington, DC
- NPI 1487729026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1659447548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "866-795-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7254 WOODMONT AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142951",
"telephone_number": "301-718-2424",
"fax_number": "301-718-2425"
}
],
"practiceLocations": [
{
"address_1": "1895 L St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200363801",
"country_code": "US",
"telephone_number": "202-659-3646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAZIA",
"first_name": "BURT",
"middle_name": "JAU",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DC",
"license": "OP1000042",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.