Marvin L Baza Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

02280TG Issued in TX

Practice address

4415 Crenshaw Rd
Pasadena, TX 77504-3628

Phone

(281) 998-2020

Fax

(281) 998-2246

NPI assigned

Aug 2, 2006

Last updated

Aug 21, 2012By the provider in NPPES

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 TX

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Marvin L Baza Optometrist PC

  • Eyewear Supplier
  • Pasadena, TX
  • NPI 1497926554
  Authorized official Same address or phone

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1841207974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8020",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775088020",
            "telephone_number": "281-998-2020",
            "fax_number": "281-998-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 CRENSHAW RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043628",
            "telephone_number": "281-998-2020",
            "fax_number": "281-998-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZA",
        "first_name": "MARVIN",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02280TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Dewain Beck, DDS
• Allison Joanna Beckford, M.A., CCC-SLP
• Bed of Love LLC
• John David Beerbower, MD

• Optometrist in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.