Mark R Chasse, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

939 Issued in CT

Practice address

160 West St
Cromwell, CT 06416-2441

Phone

(860) 635-6149

Fax

(860) 632-1401

NPI assigned

Mar 1, 2006

Last updated

Sep 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Family Eyecare and Contact Lens Center LLC

  • Optometrist
  • Cromwell, CT
  • NPI 1801081104
  Authorized official Same address or phone

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1699742429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WEST ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162441",
            "telephone_number": "860-635-6149",
            "fax_number": "860-632-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WEST ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162441",
            "telephone_number": "860-635-6149",
            "fax_number": "860-632-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASSE",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "939",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "090000939CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4275439",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C01952",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Vascular Medicine CT, PLLC
• Central Connecticut Dermatology, PLLC
• Rozalia Charpentier, L.O.
• Emily Charvis, LCSW
• Rebecca Chase-Pellicone
• Amanda Chaves
• Amy Yuntzu-Yen Chen, MD
• Rui Cheng, M.D.
• Lilly Karolina Chesler
• Jessica Paola Chivata, M.S. CCC-SLP

• Optometrist in Cromwell, CT
• Providers in Cromwell, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.