Optometry on the Mall

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003047 Issued in MI

Legal business name

OPTOMETRY ON THE MALL

Practice address

6966 Crooks Rd
Suite 26
Troy, MI 48098-1798

Phone

(248) 828-7658

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Casey, O.D.NPI 1295709202

Title

President Owner

Phone

(248) 828-7658

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas T. Casey, O.D.

  • Optometrist
  • Troy, MI
  • NPI 1295709202
  NPD (past) Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1215019948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6966 CROOKS RD",
            "address_2": "SUITE 26",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981798",
            "telephone_number": "248-828-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6966 CROOKS RD",
            "address_2": "SUITE 26",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981798",
            "telephone_number": "248-828-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRY ON THE MALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "248-828-7658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pam Oriod, CMT
• Susan Orlando

• Optometrist in Troy, MI
• Providers in Troy, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.