Dan Casamento, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0EG000705 Issued in PA

Practice address

20 Main St.
Bradford, PA 16701-2004

Phone

(814) 368-7090

Fax

(814) 368-5855

NPI assigned

Jun 5, 2006

Last updated

Jun 23, 2016By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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 Eye Health Center P C

  • Optometrist
  • Bradford, PA
  • NPI 1144380601
  Medicare reassignment NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1720027873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012004",
            "telephone_number": "814-368-7090",
            "fax_number": "814-368-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST.",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012004",
            "telephone_number": "814-368-7090",
            "fax_number": "814-368-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAMENTO",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG000705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Lorryn Campbell, SPEECH-LANGUAGE PATH
• Bryan A. Cannon, R.N.
• Care for Children
• Curtis G Carlisle, COTA
• Ashley Rene Carlson, MOT, OTR/L
• Dongwuk Cha
• Colleen Chahal
• Donghui Chen, MD
• Children's Center for Treatment and Education (Beacon Light Behavioral Health System)
• Children's Center for Treatment and Education (Beacon Light Behavioral Health System)

• Optometrist in Bradford, PA
• Providers in Bradford, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.