Active NPI
Michelle L. Cazett O. D. P. C.
- Optometrist
- Marshalltown, IA
National Provider Identifier
1245455641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02105
- Legal business name
- MICHELLE L. CAZETT O. D. P. C.
- Practice address
- 2802 S Center St
Marshalltown, IA 50158-4708 - Phone
- (641) 753-3169
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle Lee Cazett, O. D.
- Title
- President
- Phone
- (641) 753-3169
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02105 | IA | Primary |
Addresses
Primary practice location
2802 S Center St
Marshalltown, IA 50158-4708
Mailing address
4909 Highway S74 S
Newton, IA 50208-8426
Phone (641) 753-3169
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1181941 | Medicaid | IA | |
| 43263 | Other | IA | BLUE CROSS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Marshalltown, IA
- NPI 1548205172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309910400000",
"number": "1245455641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 HIGHWAY S74 S",
"city": "NEWTON",
"state": "IA",
"postal_code": "502088426",
"telephone_number": "641-753-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2802 S CENTER ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501584708",
"telephone_number": "641-753-3169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE L. CAZETT O. D. P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2011-07-06",
"status": "A",
"authorized_official_last_name": "CAZETT",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "641-753-3169",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O. D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IA",
"license": "02105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1181941",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "43263",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.