Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Beth Bazin, OD

Individual provider Optometrist · NPI 1154421402

Dr. Beth Bazin, OD is an Optometrist in Kansas City, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2006.

Licensed in
KS, MO
In the registry since
2006
Specialties on file
4
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1441 E 104th St Bldg 3 - Ste 103
Kansas City, MO 64131-4634
Phone: (816) 333-1500
Fax: (816) 943-0885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2211 (KS)
Optometrist Taxonomy 152W00000X · Licence T03320 (MO)
Pediatric Optometrist Taxonomy 152WP0200X · Licence T03320 (MO)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence T03320 (MO)

Record details

NPI number1154421402
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESAugust 22, 2024
Certification dateAugust 19, 2024

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