Individual provider Active NPI

Peter J Cass, OD

  • Optometrist
  • Beaumont, TX
National Provider Identifier
1306893144
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05974T Issued in TX
Practice address
6725 Delaware St
Beaumont, TX 77706-7655
Phone
(409) 832-4136
Fax
(409) 835-3623
NPI assigned
May 27, 2006
Last updated
May 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05974T TX Primary

Addresses

Primary practice location

6725 Delaware St
Beaumont, TX 77706-7655

Mailing address

6725 Delaware St
Beaumont, TX 77706-7655
Phone (409) 832-4136

Other identifiers 4

IdentifierTypeStateIssuer
9298701005OtherTXCIGNA
80921QOtherTXBLUECROSSBLUESHIELD OF TX
148312502MedicaidTX
7775479OtherTXAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070309000090 TX Practitioner - Optometry 4284737446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

3000 S Hulen St
Fort Worth, TX 76109-1929
Phone (817) 738-2027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05974TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Feb 17, 2020 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 17, 2020 Accepting new patients
Blount Kimball Medical Optometry PA Optometrist PastSince Feb 1, 1999 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients
Vorster & Associates PC Optometrist Past Accepting new patients

Locations

6725 Delaware St
Beaumont, TX 77706
Phone (409) 832-9151

3000 S Hulen St
Ft Worth, TX 76109
Phone (817) 570-2960

2401 N 16th St
Orange, TX 77630
Phone (409) 886-2292

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1306893144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067655",
            "telephone_number": "409-832-4136",
            "fax_number": "409-835-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067655",
            "telephone_number": "409-832-4136",
            "fax_number": "409-835-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASS",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05974T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9298701005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF TX",
            "identifier": "80921Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148312502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7775479",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.