Individual
DR. BETH BAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2211
KS
152W00000X
Optometrist
T03320
MO
152WP0200X
Pediatric Optometrist
T03320
MO
152WV0400X
Vision Therapy Optometrist
T03320
MO
Other
Enumeration date
09/25/2006
Last updated
08/22/2024
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