Organization Active NPI

Stephen P Cassis MD

  • Ophthalmology Physician
  • Charleston, WV
National Provider Identifier
1770663866
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12950 Issued in WV
Legal business name
STEPHEN P CASSIS MD
Practice address
301 49TH St SE Ste a
Charleston, WV 25304-1909
Phone
(304) 925-3937
Fax
(304) 925-4336
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Mrs. Melisa Cassis
Title
Office Manager
Phone
(304) 925-3937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2026-IOD1 WV
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 12950 WV Primary

Addresses

Primary practice location

301 49TH St SE Ste a
Charleston, WV 25304-1909

Mailing address

301 49TH St SE Ste a
Charleston, WV 25304-1909
Phone (304) 925-3937

National Provider Directory

National Provider Directory

Locations

301 49th St SE
#A
Charleston, WV 25304
Phone (304) 925-3937

325 Jones Ave
Oak Hill, WV 25901
Phone (304) 465-4325

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1770663866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 49TH ST SE STE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041909",
            "telephone_number": "304-925-3937",
            "fax_number": "304-925-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 49TH ST SE STE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041909",
            "telephone_number": "304-925-3937",
            "fax_number": "304-925-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P CASSIS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "CASSIS",
        "authorized_official_first_name": "MELISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-925-3937",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2026-IOD1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "12950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.