Organization Active NPI

Michelle L. Cazett O. D. P. C.

  • Optometrist
  • Marshalltown, IA
National Provider Identifier
1245455641
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02105 Issued in IA
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

Updated by the provider on Jul 6, 2011

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.NPI 1548205172
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1181941MedicaidIA
43263OtherIABLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.