Active NPI
Arthur Pazornik, O.D.
- Optometrist
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4978
- Practice address
- 2220 Clark Ave
Long Beach, CA 90815-2521 - Phone
- (562) 597-4181
- Fax
- (562) 597-7083
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT4978 | CA | |
| Optometrist | 152W00000X | 4978 | CA | Primary |
Addresses
Primary practice location
2220 Clark Ave
Long Beach, CA 90815-2521
Mailing address
75 Remittance Dr Dept 6008
Chicago, IL 60675-6008
Phone (562) 282-1419
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0049780 | Medicaid | CA | |
| 410046775 | Other | CA | RAILROAD MEDICARE |
| 410046775 | Other | CA | MEDICARE RAILROAD |
| 00OPT49780 | Other | CA | BLUE SHIELD |
| SA0049780 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4403 S Vermont Ave
Los Angeles, CA 90037-2413
Phone (323) 232-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4978 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amplify Physicians of California PC | Optometrist | Current | Accepting new patients |
| Amplify Physicians of California PC | Current | Accepting new patients | |
| Pioneer Medical Group Inc. | Current | Accepting new patients |
Locations
17777 Center Court Dr N
Ste 400
Cerritos, CA 90703
Phone (562) 229-9452
11480 Brookshire Ave
Downey, CA 90241
Phone (562) 862-0804
2220 Clark Ave
Long Beach, CA 90815
Phone (562) 597-4181
4403 S Vermont Ave
Los Angeles, CA 90037
Phone (323) 232-1234
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1922019389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMITTANCE DR DEPT 6008",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606756008",
"telephone_number": "562-282-1419",
"fax_number": "562-920-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 CLARK AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908152521",
"telephone_number": "562-597-4181",
"fax_number": "562-597-7083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAZORNIK",
"first_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT4978",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "4978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0049780",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410046775",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "410046775",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00OPT49780",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0049780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.