Individual provider Active NPI

Michael John Cassano, O.D.

  • Optometrist
  • Naperville, IL
National Provider Identifier
1730138801
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.008556 Issued in IL
Practice address
608 S Washington St
Suite 306
Naperville, IL 60540-6663
Phone
(630) 718-1031
Fax
(630) 718-1039
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.008556 IL Primary
Optometrist 152W00000X 346.000642 IL

Addresses

Primary practice location

608 S Washington St
Suite 306
Naperville, IL 60540-6663

Mailing address

2239 Kenyon CT
Aurora, IL 60502-1392
Phone (630) 701-2441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070122000037 IL Practitioner - Optometry 2365443215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

608 S Washington St
Suite 306
Naperville, IL 60540-6664
Phone (630) 718-1031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.008556ILMDOptometrist
346.000642ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Practice of Dr. Michael J. Cassano, P.C. Optometrist CurrentSince Nov 20, 2006 Accepting new patients

Locations

608 S Washington St
Ste 306
Naperville, IL 60540
Phone (630) 715-1031

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1730138801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 KENYON CT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605021392",
            "telephone_number": "630-701-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S WASHINGTON ST",
            "address_2": "SUITE 306",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406663",
            "telephone_number": "630-718-1031",
            "fax_number": "630-718-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSANO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.008556",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "346.000642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.