BOB L LAZER (NPI# 1508850702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508850702 |
| Entity Type | Individual |
| Full Name | BOB L LAZER |
| Credential | OD |
| Practice Address |
120 W Penn St Bedford PA 15522-1223 |
| Practice Telephone | 8146235018 |
| Practice Fax Number | 8146237718 |
| Mailing Telephone | 8146235018 |
| Mailing Fax Number | 8146237718 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG001149 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | LA435357 | 01 |
| Street Address |
120 W PENN ST |
| City | BEDFORD |
| State | PA |
| Zip Code | 15522-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255841565 | Janidlo Optometry PC | Clinic/Center | 120 W Penn St, Bedford, PA 15522-1223 | 2017-10-02 |
| 1336232628 | Heather Kerr Janidlo | Optometrist | 120 W Penn St, Bedford, PA 15522 | 2006-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253308 | Jennifer Ann Leibfreid | Pharmacist | 654 E Pitt St, Bedford, PA 15522 | 2020-10-21 |
| 1336632579 | Jesse Wolfe | Physical Therapist | 9613 Lincoln Hwy Ste 107, Bedford, PA 15522 | 2018-06-12 |
| 1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
| 1649723529 | Gina Rievel | Physical Therapy Assistant | 320 E Watson Street, Bedford, PA 15522 | 2016-07-27 |
| 1295184356 | Megan Ann Diehl | Social Worker | 3759 Business Route 220 N., Suite 101, Bedford, PA 15522 | 2016-06-09 |
| 1275912644 | Alternative Community Resource Program | Public Health or Welfare | 3759 Business Rt. 220, Bedford, PA 15522 | 2015-05-19 |
| 1588002513 | Gennifer E Washington | Social Worker | 104 Blanche St, Bedford, PA 15522 | 2013-06-12 |
| 1942554787 | Kristen Susannah Kozak | Nurse Practitioner | Upmc Bedford Walk In Clinic, 420 E. Central Way, Bedford, PA 15522 | 2012-11-01 |
| 1861753576 | Kelly Nicole Ford | Social Worker | 5157 Business 220, Bedford, PA 15522 | 2012-05-30 |
| 1932465234 | Amberly Shaffer | Counselor | 3759 Business Rte. 220 N. Suite 101, Bedford, PA 15522 | 2012-04-11 |
| Find all providers in zip 15522 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091159 | Melynda Rodriguez Hernandez | Optometrist | 1311 M St, Bedford, IN 47421-3234 | 2018-01-18 |
| 1902334949 | Meagan Marie Mahoney | Optometrist | 320 Broadway Ave Ste C, Bedford, OH 44146-2642 | 2017-06-02 |
| 1427476399 | Thomas Norell | Optometrist | 3204 Murphy Dr, Bedford, TX 76021-3735 | 2014-03-28 |
| 1801226238 | Jennifer Catuncan Od Pllc | Optometrist | 2400 Airport Fwy, Ste 140, Bedford, TX 76022-6098 | 2013-11-21 |
| 1962764076 | Jared Paul Quesenberry | Optometrist | 1332 Lowry St, Suite A, Bedford, VA 24523 | 2012-06-13 |
| 1285921296 | Alison Paige Atchison | Optometrist | 1537 J St, Bedford, IN 47421-3839 | 2011-06-29 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1639334246 | Jennifer Catuncan | Optometrist | 2400 Airport Freeway, Suite 140, Bedford, TX 76022-6019 | 2008-07-23 |
| 1548460355 | Angelina Cerny | Optometrist | 22209 Rockside Rd, Bedford, OH 44146-1554 | 2007-07-19 |
| 1053518647 | Nathan Alan Mcclain | Optometrist | 3250 W. 16th St, Bedford, IN 47421-3503 | 2007-06-28 |
| Find all providers in BEDFORD | ||||
Please comment or provide details below to improve the information on BOB L LAZER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.