Individual provider Active NPI

Kevin S Cassar, OD

  • Corneal and Contact Management Optometrist
  • Holland, MI
National Provider Identifier
1750343943
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
4901004262 Issued in MI
Practice address
70 E Lakewood Blvd
Suite 10
Holland, MI 49424-2695
Phone
(616) 395-2662
Fax
(616) 395-2992
NPI assigned
Apr 4, 2006
Last updated
Sep 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 4901004262 MI Primary

Addresses

Primary practice location

70 E Lakewood Blvd
Suite 10
Holland, MI 49424-2695

Mailing address

70 E Lakewood Blvd
Suite 10
Holland, MI 49424-2695
Phone (616) 395-2662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20071116000658 MI Practitioner - Optometry 6709848229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

70 E Lakewood Blvd
Suite 10
Holland, MI 49424-2695
Phone (616) 395-2662

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004262MIMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Eye Health, PLC Corneal and Contact Management CurrentSince Dec 1, 2007 Accepting new patients
Athens Eye Care, LLC PastSince Jun 20, 1994 Accepting new patients
Elder Eye Care Group PLC PastSince Nov 21, 2016 Accepting new patients

Locations

70 E Lakewood Blvd
Ste 10
Holland, MI 49424
Phone (616) 395-2662

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1750343943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E LAKEWOOD BLVD",
            "address_2": "SUITE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242695",
            "telephone_number": "616-395-2662",
            "fax_number": "616-395-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E LAKEWOOD BLVD",
            "address_2": "SUITE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242695",
            "telephone_number": "616-395-2662",
            "fax_number": "616-395-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSAR",
        "first_name": "KEVIN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901004262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.