Individual provider Active NPI

Dawn Renee Cassidy, O.D.

  • Optometrist
  • Noblesville, IN
National Provider Identifier
1659309177
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003134A Issued in IN
Practice address
16865 Clover Rd
Noblesville, IN 46060-3640
Phone
(317) 773-1981
Fax
(317) 773-1781
NPI assigned
Jun 30, 2006
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003134A IN Primary

Addresses

Primary practice location

16865 Clover Rd
Noblesville, IN 46060-3640

Mailing address

141 Southridge LN
Westfield, IN 46074-9491
Phone (317) 896-1326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20031106000368 IN Practitioner - Optometry 6608789698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Eye Care IncGroup PAC ID 9830169234, 33 clinicians

Practice addresses (Care Compare)

1221 S Creasy LN
Suite a
Lafayette, IN 47905-7430
Phone (765) 447-4951

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City Optical Co., Inc. Optometrist Current Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Dec 5, 2015 Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Dec 5, 2015 Accepting new patients
Evans Eye Care Inc Optometrist CurrentSince May 1, 2024 Accepting new patients

Locations

2835 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

2839 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

1164 17th St
Kokomo, IN 46902
Phone (765) 457-5384

1221 S Creasy Ln
Ste A
Lafayette, IN 47905
Phone (765) 447-4951

3526 Osborne Ln
Lafayette, IN 47909
Phone (765) 447-4951

638 S Earl Ave
Lafayette, IN 47904
Phone (317) 293-5424

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, 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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1659309177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SOUTHRIDGE LN",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749491",
            "telephone_number": "317-896-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16865 CLOVER RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603640",
            "telephone_number": "317-773-1981",
            "fax_number": "317-773-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "DAWN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003134A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.