Active NPI
Cassidy Lawless, OD
- Optometrist
- New Port Richey, FL
National Provider Identifier
1073358883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6505
- Practice address
- 5305 Grand Blvd
New Port Richey, FL 34652-4014 - Phone
- (727) 847-0889
- Fax
- (727) 846-8458
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6505 | FL | Primary |
Addresses
Primary practice location
5305 Grand Blvd
New Port Richey, FL 34652-4014
Mailing address
5305 Grand Blvd
New Port Richey, FL 34652-4014
Phone (727) 847-0889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5305 Grand Blvd
New Port Richey, FL 34652-4014
Phone (727) 847-0889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6505 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rowan Eye Center, Inc. | Multi-Specialty | Current | Accepting new patients |
Locations
5305 Grand Blvd
New Prt Rchy, FL 34652
Phone (727) 264-8856
Interoperability endpoints
- clawless@rowaneyecenter.intellechartdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1073358883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 GRAND BLVD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524014",
"telephone_number": "727-847-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5305 GRAND BLVD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524014",
"telephone_number": "727-847-0889",
"fax_number": "727-846-8458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLESS",
"first_name": "CASSIDY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "6505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.