Joseph C Bazemore OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

701 Issued in NC

Legal business name

JOSEPH C BAZEMORE OD PA

Practice address

918 Broad St
Durham, NC 27705

Phone

(919) 286-2225

Fax

(919) 595-0857

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Claude Bazemore, OD

Title

President

Phone

(919) 286-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1992031454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-286-2225",
            "fax_number": "919-595-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-286-2225",
            "fax_number": "919-595-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH C BAZEMORE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "BAZEMORE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CLAUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-286-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909057",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie McLaughlin Jorgensen, MS, CCC-SLP
• Aubrey Michelle Joscak, BCBA
• Jeremy Jose, DO
• Josefs Pharmacy LLC
• Josefs Pharmacy LLC (Josefs Pharmacy)
• Beverly Joseph, ED.D
• Cecelia A Joseph, LCAS
• Isabel Ann Josephs, MD
• Laurie Ann Josey
• Anand Joshi, MD

• Optometrist in Durham, NC
• Providers in Durham, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.