Emmet Michael Cassidy, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036092971 Issued in IL

Practice address

18646 Dixie Hwy
Homewood, IL 60430-3715

Phone

(708) 647-6635

Fax

(708) 647-6649

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Loyola University of Chicago, Stritch School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suburban Eye SpecialistsGroup PAC ID 3971848433, 9 clinicians

Advanced Eye Care SCGroup PAC ID 0446145577, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Advanced Eye Care SC

  • Ophthalmology Physician
  • New Lenox, IL
  • NPI 1831154947

  IL, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Mission Optical, Inc.

  • Ophthalmology Physician
  • Homewood, IL
  • NPI 1538246996

  IL, Ophthalmology

  Medicare reassignment NPD Authorized official
• Suburban Eye Specialists

  • Ophthalmology Physician
  • Chicago Ridge, IL
  • NPI 1043794506
  Care Compare group
• Advanced Eye Care SC

  • Durable Medical Equipment & Medical Supplies
  • New Lenox, IL
  • NPI 1770712531
  NPD
• Marcos a. Lopez, M.D, S.C.

  • Ophthalmology Physician
  • North Riverside, IL
  • NPI 1225048135

  Ophthalmology

  NPD (past)
• Ocular Partners PLLC

  • Ophthalmic Technician/Technologist
  • Homewood, IL
  • NPI 1295792901
  NPD (past)
• Olympia Fields Eyecare, LTD.

  • Ophthalmology Physician
  • Flossmoor, IL
  • NPI 1598762007

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1770544462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18646 DIXIE HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303715",
            "telephone_number": "708-647-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18646 DIXIE HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303715",
            "telephone_number": "708-647-6635",
            "fax_number": "708-647-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "EMMET",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036092971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "01620861",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN IL MEDICARE COOK COUNTY",
            "identifier": "205785",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092971",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180046212",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE ESC GROUP NPI",
            "identifier": "1083684922",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00379235",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Hands Home Health & Rehab. LLC
• Carolmark Inc
• Vicky Carter, LSW
• Ashley Simone Cartman, MA, LPC
• Karen M Casey, LCSW
• Suvanna Chansiri
• Grant S Chavin, MD
• Latosha L Cherry, PHARM.D.
• Onyekwelu Edward Chidume
• Chiropractic Care LTD

• All providers in Homewood, IL
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.