| 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 |