Cascade Ophthalmology PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CASCADE OPHTHALMOLOGY PC

Practice address

791 Kenmoor Ave SE
Suite a
Grand Rapids, MI 49546-8625

Phone

(616) 575-8200

Fax

(616) 954-9622

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth H Henry, MDNPI 1598727935

Title

Owner

Phone

(616) 575-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cascade Ophthalmology PC

  • Eyewear Supplier
  • Grand Rapids, MI
  • NPI 1508927286

  3072610112

  Same PAC ID

Tax ID family

Cascade Ophthalmology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cascade Ophthalmology PC

  • Eyewear Supplier
  • Grand Rapids, MI
  • NPI 1508927286
  NPD tax ID

Practitioners 3

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

• Elizabeth H Henry, MD

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1598727935
  Medicare reassignment Care Compare group NPD Authorized official
• James P Patyi, OD

  • Optometrist
  • Comstock Park, MI
  • NPI 1548345630
  Medicare reassignment Care Compare group NPD
• Jason Vanderploeg, OD

  • Optometrist
  • Kentwood, MI
  • NPI 1558404152
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1013979756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 KENMOOR AVE SE",
            "address_2": "SUITE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468625",
            "telephone_number": "616-575-8200",
            "fax_number": "616-954-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 KENMOOR AVE SE",
            "address_2": "SUITE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468625",
            "telephone_number": "616-575-8200",
            "fax_number": "616-954-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE OPHTHALMOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-575-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cascade Comprehensive Medical Care, P.C.
• Cascade Counseling & Recovery LLC
• Cascade Family Dental Group
• Cascade Family Dentistry PC
• Cascade Medical Testing Lab, Inc.
• Cascade Ophthalmology PC
• Cascade Pediatrics LLP
• Cascade Physical Therapy & Rehabilitation PC
• Cascading Grace LLC
• Allison Nicole Cascarilla, PH.D., BCBA-D, LBA

• Ophthalmology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.