Individual provider Active NPI

Cassandra K Martinson, O.D.

  • Optometrist
  • Perry, IA
National Provider Identifier
1750720322
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002576 Issued in IA
Practice address
1313 2ND St
Perry, IA 50220-1511
Phone
(515) 465-4203
NPI assigned
Jun 17, 2013
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002576 IA Primary

Addresses

Primary practice location

1313 2ND St
Perry, IA 50220-1511

Mailing address

1313 2ND St
Perry, IA 50220-1511
Phone (515) 465-4203

Other names 1

  • Ms. Cassandra K Halverson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20131010001439 IA Practitioner - Optometry 7618101445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates LLCGroup PAC ID 6507110590, 2 clinicians

Practice addresses (Care Compare)

1313 2ND St
Perry, IA 50220-1511
Phone (515) 465-4203

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002576IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates LLC Optometrist CurrentSince Oct 1, 2018 Accepting new patients

Locations

102 E Main St
Panora, IA 50216
Phone (641) 755-3699

1313 2nd St
Perry, IA 50220
Phone (515) 465-4203

1313 2nd St
#38
Perry, IA 50220

303 SW 7th St
Ste C
Stuart, IA 50250
Phone (515) 523-1300

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, 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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1750720322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 2ND ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502201511",
            "telephone_number": "515-465-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 2ND ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502201511",
            "telephone_number": "515-465-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINSON",
        "first_name": "CASSANDRA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "HALVERSON",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Perry, IA

Sources for this page

Verify at the official NPI Registry.