Individual provider Active NPI

Cassie Marie Bremke, O.D.

  • Optometrist
  • Medina, OH
National Provider Identifier
1235587601
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6444/T3361 Issued in OH
Practice address
3583 Reserve Commons Dr
Medina, OH 44256-8180
Phone
(330) 722-8300
Fax
(330) 725-0445
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6444/T3361 OH Primary

Addresses

Primary practice location

3583 Reserve Commons Dr
Medina, OH 44256-8180

Mailing address

3583 Reserve Commons Dr
Medina, OH 44256-8180
Phone (330) 722-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230328000697 OH Practitioner - Optometry 7810288008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Worldwide Vision LLCGroup PAC ID 8022404581, 3 clinicians

Practice addresses (Care Compare)

805 Patriot Dr
Wellington, OH 44090-8950
Phone (440) 647-5700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6444/T3361OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Worldwide Vision, LLC Optometrist CurrentSince Apr 10, 2023 Accepting new patients
The Cleveland Clinic Foundation PastSince Apr 10, 2023 Accepting new patients

Locations

805 Patriot Dr
Ste E
Wellington, OH 44090
Phone (440) 647-0004

805 Patriot Dr
Wellington, OH 44090
Phone (440) 647-5700

Organizations & group practices 2

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1235587601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3583 RESERVE COMMONS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568180",
            "telephone_number": "330-722-8300",
            "fax_number": "330-725-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3583 RESERVE COMMONS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568180",
            "telephone_number": "330-722-8300",
            "fax_number": "330-725-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMKE",
        "first_name": "CASSIE",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6444/T3361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.