IndividualActive
Bryan Lazzarin, OD
NPI 1619469905 · Optometrist · Saint Clair Shores, MI
Bryan Lazzarin, OD is a Optometrist provider in Saint Clair Shores, MI (NPI 1619469905).
Provider details
- NPI number
- 1619469905
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 4901005152 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30120 Harper Ave
Saint Clair Shores, MI 48082
Phone: (586) 778-7542
Fax: (586) 778-1848
Street-level locationGet directions
Mailing address
118 Cass Ave
Mount Clemens, MI 48043-2204
Registry dates
- Enumerated
- 2018-06-01
- Last updated
- 2018-07-20
Frequently asked questions
- What is Bryan Lazzarin's NPI number?
- Bryan Lazzarin's National Provider Identifier (NPI) is 1619469905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Lazzarin's specialty?
- Bryan Lazzarin is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Bryan Lazzarin located?
- Bryan Lazzarin's practice location on file with NPPES is 30120 Harper Ave, Saint Clair Shores, MI 48082.
- What is Bryan Lazzarin's phone number?
- The practice phone number listed in the NPPES registry for Bryan Lazzarin is (586) 778-7542.
- Is Bryan Lazzarin's NPI active?
- Yes — Bryan Lazzarin's NPI (1619469905) is active in the NPPES registry as of the last update on 2018-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.