NPI | 1154421402 |
---|---|
Professional Name | BETH BAZIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 2211) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO T03320) |
152WP0200X Optometrist, Pediatrics (Licence: MO T03320) | |
152WV0400X Optometrist, Vision Therapy (Licence: MO T03320) | |
Enumeration Date | 2006-09-25 |
Last Update Date | 2024-08-22 |