Gary M Lazarus Od Phd Apc
Gary M Lazarus Od Phd Apc is a healthcare organization registered as Optometrist in Manhattan Beach, CA, holding Type 2 (organization) NPI 1083789366 since 2006. The authorized official on file is Gary Lazarus, Optometrist Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083789366 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gary M Lazarus Od Phd Apc |
| Other name | <Unavail> |
| Practice address | 806 MANHATTAN BEACH BLVD, SUITE 103, Manhattan Beach, CA, 90266 |
| Phone | 3103722197 |
| Fax | 3103726581 |
| Enumeration date | 2006-11-21 |
| Last updated in NPPES | 2013-07-09 |
Authorized official
| Name | Gary Lazarus |
|---|---|
| Title | Optometrist Owner |
| Phone | 3103722197 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 5171T | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0051710 | Other | CA | BLUE SHILE OF CA |
| 32660VE | Medicaid | CA | — |
| SD0051710 | Medicaid | CA | — |
Copy-ready billing details
Provider: Gary M Lazarus Od Phd Apc NPI: 1083789366 Taxonomy: 152W00000X (Optometrist) Address: 806 MANHATTAN BEACH BLVD, SUITE 103, Manhattan Beach, CA, 90266
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275637621 | Susan Saint | Individual | Marriage & Family Therapist | Manhattan Beach, CA |
| 1669692836 | Yu-An Hsu | Individual | Acupuncturist | Manhattan Beach, CA |
| 1134375983 | Psychological Wellness | Organization | Clinical Psychologist | Manhattan Beach, CA |
| 1215257589 | Natalie Thome | Individual | Clinical Social Worker | Manhattan Beach, CA |
| 1124986195 | Raquelle Poindexter | Individual | Marriage & Family Therapist | Manhattan Beach, CA |
Verify this record
Cross-check NPI 1083789366 against the authoritative CMS record: view Gary M Lazarus Od Phd Apc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Gary M Lazarus Od Phd Apc?
Who is the authorized official for Gary M Lazarus Od Phd Apc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-07-09.