Individual provider Active NPI

Casey J Andrus, O.D.

  • Optometrist
  • Columbus, MS
National Provider Identifier
1073586012
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100031 Issued in ID
Practice address
201 Independence
Suite 101
Columbus, MS 39710-5300
Phone
(662) 434-2188
Fax
(662) 434-2181
NPI assigned
Feb 9, 2006
Last updated
Apr 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100031 ID Primary

Addresses

Primary practice location

201 Independence
Suite 101
Columbus, MS 39710-5300

Mailing address

7390B Salem Dr
Columbus, MS 39705-7622
Phone (662) 434-5076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060602000014 WA Practitioner - Optometry 3173534351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casey J. Andrus, O.D., PLLCGroup PAC ID 3779613187, 2 clinicians

Practice addresses (Care Compare)

1203 E Division St
Mount Vernon, WA 98274-4101
Phone (360) 336-5734

Merit-based Incentive Payment System (MIPS)

Final score
94.31 of 100Reported as individual
Quality
88.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100031IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Casey J. Andrus, O.D., PLLC Optometrist CurrentSince Jun 1, 2010 Accepting new patients
Anup K. Deol, OD PS Optometrist PastSince Jan 1, 2009 Accepting new patients

Locations

1203 E Division St
Mount Vernon, WA 98274
Phone (360) 336-5734

9730 State Route 532
Ste D
Stanwood, WA 98292
Phone (360) 336-5734

Interoperability endpoints

  • Direct secure messaging: caseyjandrusod@direct.revolutionehr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1073586012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390B SALEM DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397057622",
            "telephone_number": "662-434-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 INDEPENDENCE",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397105300",
            "telephone_number": "662-434-2188",
            "fax_number": "662-434-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUS",
        "first_name": "CASEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.