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MARY JO BAIZE OD PA NPI 1518079656


NPI Information

NPI: 1518079656
Provider Name: MARY JO BAIZE OD PA
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3801 BEE RIDGE RD
SUITE #3
SARASOTA, FL
ZIP 34233
Phone: (941) 923-8181
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MARY JO BAIZE OD PA is an eyewear supplier in Sarasota, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MARY JO BAIZE OD PA NPI is 1518079656. The provider is registered as an organization entity type.

The provider's business location address is:

3801 BEE RIDGE RD
SUITE #3
SARASOTA, FL
ZIP 34233-166
Phone: (941) 923-8181
Fax: (941) 923-1113

The provider's authorized official is Mary Jo Baize .
The authorized official title is Owner and has the following contact phone number (941) 923-8181.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/15/2008.


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
1332H00000XEyewear SupplierOPC 2467FLORIDAYes

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
1U12672MEDICARE UPINFLORIDA
220253XMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE PROVIDER NUMBER
31073513057OTHERFLORIDANPI INDIVIDUAL
45869650001MEDICARE NSCFLORIDA
5U12672MEDICARE PINFLORIDA

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

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