Individual provider Active NPI

Thomas T. Casey, O.D.

  • Optometrist
  • Troy, MI
National Provider Identifier
1295709202
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003047 Issued in MI
Practice address
6966 Crooks Rd
Suite 26
Troy, MI 48098-1798
Phone
(248) 828-7658
Fax
(248) 828-7148
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003047 MI Primary

Addresses

Primary practice location

6966 Crooks Rd
Suite 26
Troy, MI 48098-1798

Mailing address

2812 Broadmoor Dr
Rochester Hills, MI 48309-1369
Phone (248) 375-9170

Other identifiers 1

IdentifierTypeStateIssuer
1734950MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optometry on the Mall Optometrist PastSince Jan 1, 2006 Accepting new patients
J. Leung PLLC Optometrist PastSince Mar 17, 2018 Accepting new patients

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1295709202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 BROADMOOR DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091369",
            "telephone_number": "248-375-9170",
            "fax_number": "248-375-2892"
        },
        {
            "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",
            "fax_number": "248-828-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "THOMAS",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1734950",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.