Provider Type Icon

GARY M LAZARUS OD PHD APC NPI 1083789366


NPI Information

NPI: 1083789366
Provider Name: GARY M LAZARUS OD PHD APC

Other Name: GARY M LAZARUS OD OR GARY M LAZARUS OD PHD FAAD

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
806 MANHATTAN BEACH BLVD
SUITE 103
MANHATTAN BEACH, CA
ZIP 90266
Phone: (310) 372-2197
Get Directions

GARY M LAZARUS OD PHD APC is an optometrist in Manhattan Beach, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. GARY M LAZARUS OD PHD APC NPI is 1083789366. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Gary M Lazarus Od Or Gary M Lazarus Od Phd Faad.

The provider's business location address is:

806 MANHATTAN BEACH BLVD
SUITE 103
MANHATTAN BEACH, CA
ZIP 90266-960
Phone: (310) 372-2197
Fax: (310) 372-6581

The provider's authorized official is Gary Marc Lazarus .
The authorized official title is OPTOMETRIST OWNEROwner and has the following contact phone number (310) 372-2197.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 7/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist5171TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T09892MEDICARE UPIN
2SD0051710MEDICAIDCALIFORNIA
3OP5171MEDICARE ID-TYPE UNSPECIFIED
4SD0051710OTHERCALIFORNIABLUE SHILE OF CA
532660VEMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.