Individual provider Active NPI

Craig A Cassey, O.D.

  • Optometrist
  • Brookhaven, PA
National Provider Identifier
1669463535
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000453 Issued in PA
Practice address
4590 Edgmont Ave
Brookhaven, PA 19015-1728
Phone
(610) 872-6077
Fax
(610) 872-2845
NPI assigned
Oct 31, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000453 PA Primary

Addresses

Primary practice location

4590 Edgmont Ave
Brookhaven, PA 19015-1728

Mailing address

PO Box 1008
Brookhaven, PA 19015-0008
Phone (610) 872-6077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070328000023 PA Practitioner - Optometry 5890899074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craig a. Cassey O D P CGroup PAC ID 0941301840, 3 clinicians

Practice addresses (Care Compare)

139 S State Rd
Springield, PA 19064-1645
Phone (610) 543-8200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000453PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig a. Cassey O D P C Optometrist CurrentSince Mar 15, 2007 Accepting new patients
Casseys Optical Inc PastSince Mar 15, 2007 Accepting new patients
Casseys Optical, Inc Past Accepting new patients

Locations

4590 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 872-2643

139 S State Rd
Springfield, PA 19064
Phone (610) 543-8200

Interoperability endpoints

  • Direct secure messaging: direct@casseysopticalbrookhavenpa.compulinkdirect.com

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669463535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190150008",
            "telephone_number": "610-872-6077",
            "fax_number": "610-872-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 EDGMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190151728",
            "telephone_number": "610-872-6077",
            "fax_number": "610-872-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSEY",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, PA

Sources for this page

Verify at the official NPI Registry.