Lawrence Kazzazi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35800 Issued in CA

Practice address

3451 S Dogwood Rd Ste 1334
El Centro, CA 92243-9140

Phone

(760) 336-3003

NPI assigned

Aug 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imperial Valley Optometric CorporationGroup PAC ID 7911173588, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Imperial Valley Optometric Corporation

  dba Optom-Eyes Vision Care

  • Optometrist
  • El Centro, CA
  • NPI 1316950207
  Medicare reassignment Care Compare group NPD
• Imperial Beach Optometric Corporation

  dba Optom-Eyes Vision Care

  • Optometrist
  • San Diego, CA
  • NPI 1790249563
  Medicare reassignment NPD
• Total Vision PC

  dba Total Vision

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  NPD (past)

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1689406068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 S DOGWOOD RD STE 1334",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439140",
            "telephone_number": "760-336-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 S DOGWOOD RD STE 1334",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439140",
            "telephone_number": "760-336-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZZAZI",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Jurado
• Nikitaben Kamdar
• Vallop Kanjanapone, M.D.
• Vishwa Mohini Kapoor, MD
• Alexandra Kaufman
• Edna Keefer
• Sheila Kellenbeck
• Dawn Michele Kelley-Lewis, NURSE PRACTITIONER
• Georgene Terese Kelley-Rondero, DDS
• Kenneth B. Rehm, D.P.M. (Diabetic Foot & Wound MGM)

• Optometrist in El Centro, CA
• Providers in El Centro, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.