DR. BETH BAZIN O.D.
NPI 1154421402
Optometrist in Kansas City, MO

Active since September 25, 2006Opted out of Medicare · through Oct 1, 2026
1441 E 104TH ST, BLDG. 3 - SUITE 103, KANSAS CITY, MO 64131(816) 333-1500(816) 943-0885 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Beth Bazin O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BETH BAZIN O.D. (NPI 1154421402) is an individual optometrist in Kansas City, Missouri, licensed in Kansas (2211) and active in the NPI registry since September 2006. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1154421402
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. BETH BAZINCredential: O.D.
Location Address1441 E 104TH ST, BLDG. 3 - SUITE 103Kansas City, MO 64131-4634
Mailing Address7235 W 79 StreetOverland Park, KS 66204-3664 · (816) 333-1500 · Fax (816) 817-3769
Fax(816) 943-0885
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 22, 2024
NPPES CertifiedAugust 19, 2024
NPI 1154421402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in KS · 2211 Licensed in MO · T03320
Definition
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.
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License T03320 (MO)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License T03320 (MO)
1441 E 104TH ST, Kansas City, MO 64131

Other Names 1

Professional Name (2)Beth Bazin O.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Beth Bazin O.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist (Occupational Vision)
1441 E 104TH ST, SUITE 103
KANSAS CITY, MO 64131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beth Bazin's NPI number?

The NPI number for Beth Bazin is 1154421402. It was assigned to this individual provider in the NPPES registry on September 25, 2006. The provider is also known as Beth Bazin O.D..

Where is Beth Bazin located?

Beth Bazin practices at 1441 E 104th St Bldg. 3 - Suite 103, Kansas City, MO 64131. The listed phone number is (816) 333-1500.

What is Beth Bazin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Beth Bazin enrolled in Medicare?

No. Beth Bazin has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Beth Bazin was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.