Mark Cassol MD PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

39515 Issued in KY

Legal business name

MARK CASSOL MD PSC

Practice address

2600 W. Broadway, Suite 105
Louisville, KY 40211

Phone

(502) 772-3625

NPI assigned

Jul 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Cassol, MDNPI 1023128063

Title

Ophthalmologist

Phone

(502) 759-2765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Cassol, M.D.

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1023128063
  Medicare reassignment NPD Authorized official
• Carl E Harder, O.D.

  • Optometrist
  • Louisville, KY
  • NPI 1558635748
  NPD (past)
• Shorye Payne, MD

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1144282005
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1003071200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8073",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40257",
            "telephone_number": "502-759-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W. BROADWAY, SUITE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40211",
            "telephone_number": "502-772-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK CASSOL MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "CASSOL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "502-759-2765",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "39515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Sud
• Bradley Dale Marine, LPCC
• Andriana Marino, LPN
• Amanda Maris, MS, OTR/L
• Ramesh Mariyappa, M.D.
• Mark Chariker, M.D., PSC
• Mark O Gladstein MD PLLC
• Mark Williams M.D., LLC
• Martin D Mark, M.D.
• Markert Family Practice PSC

• Ophthalmology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.