Active NPI
Dr. John F. Labaza, P.C.
- Optometrist
- Lapeer, MI
National Provider Identifier
1790992907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002702
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Labaza, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Lapeer, MI
- NPI 1730239492
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.