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Individual
NICK C KAZARIAN
Active
Individual
NICK C KAZARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
07240-T
CA
152WC0802X
Corneal and Contact Management Optometrist
07240T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02220
MEDICAL EYE SERVICES
CA
01
—
211379
EYEMED VISION PLAN
CA
01
—
45386
SAFEGUARD VISION HMO PLAN
CA
01
—
49815
SAFEGUARD PPO PLAN
CA
05
—
SD0072400
—
CA
Enumeration date
10/20/2006
Last updated
12/19/2011
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