Casey J. Andrus, O.D., PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4046 Issued in WA

Legal business name

CASEY J. ANDRUS, O.D., PLLC

Practice address

1203 E Division St
Mount Vernon, WA 98274-4101

Phone

(360) 336-5734

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Casey J, Andrus, O.D.NPI 1073586012

Title

Owner

Phone

(360) 657-2670

Specialties & licenses 1

Addresses

Other names 1

• Valley Vision & Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Casey J. Andrus, O.D., PLLC

  • Optometrist
  • Stanwood, WA
  • NPI 1801126719

  O20100611000042

  Same enrollment

Practitioners 2

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

• Casey J Andrus, O.D.

  • Optometrist
  • Columbus, MS
  • NPI 1073586012
  NPD Authorized official
• Lindee Jo Lorig, OD

  • Optometrist
  • Mount Vernon, WA
  • NPI 1811515075
  NPD

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1386974566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 71ST DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982708951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744101",
            "telephone_number": "360-336-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY J. ANDRUS, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "J,",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-657-2670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "4046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Vision & Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mariel Castillo, MD
• Thomas S Catalina, PA C

• Optometrist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.