Individual provider Active NPI

Cassandra J Croy, OD

  • Optometrist
  • Geneva, IL
National Provider Identifier
1508467234
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011485 Issued in IL
Practice address
500 S 3Rd St Ste 105
Geneva, IL 60134-2763
Phone
(630) 914-6433
NPI assigned
Nov 9, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011485 IL Primary

Addresses

Primary practice location

500 S 3Rd St Ste 105
Geneva, IL 60134-2763

Mailing address

5531 Elm St
Lisle, IL 60532-2723
Phone (630) 777-0270

Other practice location 1

6440 Main St Ste 100
Woodridge, IL 60517-1753
Phone (630) 824-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011485ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Bridges Eye Care LLC Optometrist CurrentSince Jan 5, 2021 Accepting new patients
Lakhani Vision Care, PC Optometrist Past Accepting new patients

Locations

500 S 3rd St
Ste 105
Geneva, IL 60134
Phone (630) 232-7800

6440 Main St
Ste 100
Woodridge, IL 60517
Phone (630) 232-7800

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, 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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1508467234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 ELM ST",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322723",
            "telephone_number": "630-777-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 3RD ST STE 105",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342763",
            "telephone_number": "630-914-6433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Woodridge",
            "state": "IL",
            "postal_code": "605171753",
            "country_code": "US",
            "telephone_number": "630-824-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROY",
        "first_name": "CASSANDRA",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.