Individual provider Active NPI

Adrienne M. Cassata, O.D.

  • Optometrist
  • Amherst, NY
National Provider Identifier
1548200801
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006812-1 Issued in NY
Practice address
2825 Niagara Falls Blvd
Suite 130
Amherst, NY 14228-2046
Phone
(716) 564-2020
Fax
(716) 564-2060
NPI assigned
Jun 7, 2006
Last updated
Jun 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006812-1 NY Primary

Addresses

Primary practice location

2825 Niagara Falls Blvd
Suite 130
Amherst, NY 14228-2046

Mailing address

2825 Niagara Falls Blvd
Suite 130
Amherst, NY 14228-2046
Phone (716) 564-2020

Other identifiers 3

IdentifierTypeStateIssuer
02774716MedicaidNY
000528608003OtherNYBLUE CROSS BLUE SHIELD OF WNY
000528608002OtherNYBLUE CROSS BLUE SHIELD OF WNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040915000482 NY Practitioner - Optometry 8628045952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1780 Grand Island Blvd
Suite a
Grand Island, NY 14072-2265
Phone (716) 404-5322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006812-1NYMDOptometrist
006812NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Cassata Eye Care Optometrist, P.C. Optometrist CurrentSince Dec 2, 2019 Accepting new patients
Eye Mac Optometrists PC CurrentSince Dec 28, 2025 Accepting new patients
Francis Optical Co.Inc. Optometrist Past Accepting new patients

Locations

1780 Grand Island Blvd
Ste 1
Grand Island, NY 14072

1780 Grand Island Blvd
Ste A
Grand Island, NY 14072
Phone (716) 404-5322

445 Market St
Lockport, NY 14094
Phone (716) 433-1844

8195 Sheridan Dr
Williamsville, NY 14221
Phone (716) 480-5425

Organizations & group practices 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1548200801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 NIAGARA FALLS BLVD",
            "address_2": "SUITE 130",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282046",
            "telephone_number": "716-564-2020",
            "fax_number": "716-564-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 NIAGARA FALLS BLVD",
            "address_2": "SUITE 130",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282046",
            "telephone_number": "716-564-2020",
            "fax_number": "716-564-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSATA",
        "first_name": "ADRIENNE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006812-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02774716",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF WNY",
            "identifier": "000528608003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF WNY",
            "identifier": "000528608002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.