Active NPI
Kozur Irene Vazagov O.D
- Optometrist
- Los Angeles, CA
National Provider Identifier
1972783843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- KOZUR IRENE VAZAGOV O.D
- Practice address
- 8213 Beverly Blvd
Los Angeles, CA 90048-4505 - Phone
- (323) 655-6582
- NPI assigned
- Nov 8, 2007
- Last updated
- Nov 8, 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. Irene Vazagov, O.D
- Title
- Doctor / Owner
- Phone
- (323) 655-6582
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
8213 Beverly Blvd
Los Angeles, CA 90048-4505
Mailing address
8213 Beverly Blvd
Los Angeles, CA 90048-4505
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Los Angeles, CA
- NPI 1649434572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1972783843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8213 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8213 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484505",
"telephone_number": "323-655-6582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOZUR IRENE VAZAGOV O.D",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "VAZAGOV",
"authorized_official_first_name": "IRENE",
"authorized_official_title_or_position": "DOCTOR / OWNER",
"authorized_official_telephone_number": "323-655-6582",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Daniel Kozhebrodsky, CMT
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.