Organization Active NPI

Dr. John F. Labaza, P.C.

  • Optometrist
  • Lapeer, MI
National Provider Identifier
1790992907
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
DR. JOHN F. LABAZA, P.C.
Practice address
897 Baldwin Rd
Suite a
Lapeer, MI 48446-3384
Phone
(810) 667-9210
NPI assigned
May 17, 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 Labaza, O.D.NPI 1730239492
Title
President
Phone
(810) 523-4552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070720000164 MI Part B Supplier - Clinic/Group Practice 5597866574 Receives reassigned benefits from 1 practitioner
Practice locations: Burton, MI; Clyde, MI; Fenton, MI; Flint, MI; Lapeer, MI; Port Huron, MI; Saint Clair, MI; Swartz Creek, MI

National Provider Directory

National Provider Directory

Locations

897 Baldwin Rd
Ste A
Lapeer, MI 48446
Phone (810) 603-9567

3211 Strawberry Ln
Port Huron, MI 48060
Phone (810) 990-8419

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790992907",
    "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"
        },
        {
            "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": "DR. JOHN F. LABAZA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LABAZA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-523-4552",
        "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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.