Casey Optical Too

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CASEY OPTICAL TOO

Practice address

9000 Menaul Blvd NE
Albuquerque, NM 87112-2231

Phone

(505) 219-3113

Fax

(505) 792-6608

NPI assigned

Mar 10, 2016

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Adams Broderick

Title

Managing Member

Phone

(505) 379-2158

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: co2@casey-optical-nm.direct.consensus.com

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Drew Casey, OD

  • Optometrist
  • Albuquerque, NM
  • NPI 1184465056
  Medicare reassignment NPD
• Christine M Kniffen, O.D.

  • Optometrist
  • Albuquerque, NM
  • NPI 1619021508
  Medicare reassignment NPD
• Angela Morgan, O.D.

  • Optometrist
  • Las Cruces, NM
  • NPI 1528149911
  Medicare reassignment NPD
• Dustin Dawson, OD, MS

  • Optometrist
  • Columbus, OH
  • NPI 1427807221

  NM

  Medicare reassignment

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1669833166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122231",
            "telephone_number": "505-219-3113",
            "fax_number": "505-792-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122231",
            "telephone_number": "505-219-3113",
            "fax_number": "505-792-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY OPTICAL TOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ADAMS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "505-379-2158",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CO2@casey-optical-nm.direct.consensus.com",
            "affiliation": "N",
            "endpointDescription": "Casey Optical Too",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9000 Menaul Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871122231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Gene Casaus, LPT/LMT
• Angelica Gabriela Casavantes
• Joanne Cascio
• Genice Case
• Casey Allman DMD LLC (Sandia Smiles Dental Center)
• Drew Casey, OD
• Hannah Casey, LCSW
• Mary F Casey, LMT
• Paula Denise Casey, RN
• Siri L Casey, RD CDE

• Optometrist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.