Optometric Practice of Dr. Michael J. Cassano, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.008556 Issued in IL

Legal business name

OPTOMETRIC PRACTICE OF DR. MICHAEL J. CASSANO, P.C.

Practice address

608 S Washington St
Suite 306
Naperville, IL 60540-6663

Phone

(630) 718-1031

NPI assigned

Dec 13, 2006

Last updated

Sep 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael John Cassano, O.D.NPI 1730138801

Title

President

Phone

(630) 718-1031

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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.

• Michael John Cassano, O.D.

  • Optometrist
  • Naperville, IL
  • NPI 1730138801
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1265593172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S WASHINGTON ST",
            "address_2": "SUITE 306",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406663",
            "telephone_number": "630-718-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S WASHINGTON ST",
            "address_2": "SUITE 306",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406663",
            "telephone_number": "630-718-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC PRACTICE OF DR. MICHAEL J. CASSANO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "CASSANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-718-1031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.008556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Naperville, IL
• Providers in Naperville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.