Kozur Irene Vazagov, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10433T Issued in CA

Practice address

488 E Santa Clara St
Suite 105
Arcadia, CA 91006-7229

Phone

(626) 357-2020

Fax

(626) 357-9020

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Southern College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allmed of Los Angeles IncGroup PAC ID 2860918752, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Allmed of Los Angeles, Inc

  • Primary Care Clinic/Center
  • El Monte, CA
  • NPI 1053052522
  Medicare reassignment Care Compare group NPD
• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment NPD
• Allmed of Los Angeles, Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1912746702
  NPD
• Healthcare Partners Affiliates Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Healthcare Partners Affiliates Medical Group

  • Addiction Medicine (Internal Medicine) Physician
  • Tustin, CA
  • NPI 1891981502
  NPD
• Mark a. Chung, O.D., a Professional Corporation

  • Optometrist
  • West Hollywood, CA
  • NPI 1861800997
  NPD (past)
• Nuvision Laser Medical Associates, Inc.

  • Ophthalmology Physician
  • Arcadia, CA
  • NPI 1023208402
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)
• Memorial Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1255523643
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1851476865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST",
            "address_2": "SUITE 105",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067229",
            "telephone_number": "626-357-2020",
            "fax_number": "626-357-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST",
            "address_2": "SUITE 105",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067229",
            "telephone_number": "626-357-2020",
            "fax_number": "626-357-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZAGOV",
        "first_name": "KOZUR",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10433T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "954509552",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "54220SD0104330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vascular Care Specialists of Los Angeles
• Danny Vasquez
• Jasmine A Vasquez, LCSW
• Jose Daniel Vasquez
• Joshua Vasquez
• Nelida E Vazquez-Ramirez, PSY.D.
• Jesus Vazquez, M.D.
• Nannette Vazquez, M.S.W.
• VBK Consulting, Inc
• Edith Vega, B.A.

• Optometrist in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.