Wazny Vision PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1017 Issued in CO

Legal business name

WAZNY VISION PC

Practice address

3190 S Wadsworth Blvd
Suite 320
Lakewood, CO 80227-4899

Phone

(303) 988-5858

Fax

(303) 988-3651

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Wazny I, ODNPI 1710942321

Title

President

Phone

(303) 988-5858

Specialties & licenses 1

Addresses

Other names 1

• Bear Creek Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Wazny, O.D.

  • Optometrist
  • Lakewood, CO
  • NPI 1710942321
  Medicare reassignment NPD Authorized official
• David A Seifert, OD

  • Optometrist
  • Lakewood, CO
  • NPI 1598810707
  NPD (past)

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1992940530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 S WADSWORTH BLVD",
            "address_2": "SUITE 320",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802274899",
            "telephone_number": "303-988-5858",
            "fax_number": "303-988-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 S WADSWORTH BLVD",
            "address_2": "SUITE 320",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802274899",
            "telephone_number": "303-988-5858",
            "fax_number": "303-988-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAZNY VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "WAZNY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-988-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Creek Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Waters, DDS
• Anne Marie Watson
• Kennedy Watson
• Monte Robert Watson, O.T.R.
• Jessica Way
• Michael J Wazny, O.D.
• Stephen Weaver, CRNA
• Jessica Webb, RD
• Terrence John Webber, M.D.
• Kim D Weber Yorga, RN

• Optometrist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.