Individual provider Active NPI

Cassondra Jo Lux-O'Callaghan, OD

  • Optometrist
  • Maricopa, AZ
National Provider Identifier
1386121911
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2337 Issued in AZ
Practice address
21300 N John Wayne Pkwy Ste 105
Maricopa, AZ 85139-8964
Phone
(520) 201-3937
Fax
(520) 201-3939
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1531 NE
Optometrist 152W00000X 2337 AZ Primary
Optometrist 152W00000X 2991 OK

Addresses

Primary practice location

21300 N John Wayne Pkwy Ste 105
Maricopa, AZ 85139-8964

Mailing address

545 N Peart Rd
Casa Grande, AZ 85122-5344
Phone (520) 316-5590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190927001147 AZ Practitioner - Optometry 8022348416 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H McDougall OD Arizona PCGroup PAC ID 3274880117, 44 clinicians

Practice addresses (Care Compare)

13125 N la Montana Dr
Suite 1
Fountain Hills, AZ 85268-3781
Phone (480) 816-0102

21300 N John Wayne Pkwy
Suite 105
Maricopa, AZ 85139-8964
Phone (520) 201-3937

545 N Peart Rd
Casa Grande, AZ 85122-5344
Phone (520) 316-5590

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1531NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Eyecare Center Optometrist CurrentSince Aug 1, 2023 Accepting new patients
John H McDougall OD Arizona PC Optometrist CurrentSince Feb 14, 2025 Accepting new patients
Experts on Sight - Mesa LLC Optometrist CurrentSince Sep 11, 2022 Accepting new patients
Experts on Sight, LLC Optometrist CurrentSince Nov 1, 2019 Accepting new patients

Locations

545 N Peart Rd
Casa Grande, AZ 85122
Phone (520) 316-5590

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

3303 S Lindsay Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 292-9835

21300 N John Wayne Pkwy
Ste 105
Maricopa, AZ 85139
Phone (520) 201-3937

6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000

Organizations & group practices 4

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1386121911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N PEART RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225344",
            "telephone_number": "520-316-5590",
            "fax_number": "520-316-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY STE 105",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398964",
            "telephone_number": "520-201-3937",
            "fax_number": "520-201-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUX-O'CALLAGHAN",
        "first_name": "CASSONDRA",
        "middle_name": "JO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1531",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2337",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

Verify at the official NPI Registry.