Complete Eye Health, PLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

4901004262 Issued in MI

Legal business name

COMPLETE EYE HEALTH, PLC

Practice address

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

Phone

(616) 395-2662

Fax

(616) 395-2992

NPI assigned

Jul 12, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin S. Cassar, O.D.NPI 1750343943

Title

Owner

Phone

(616) 395-2662

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Kevin S Cassar, OD

  • Corneal and Contact Management Optometrist
  • Holland, MI
  • NPI 1750343943
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1801095781",
    "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": {
        "organization_name": "COMPLETE EYE HEALTH, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "CASSAR",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-395-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901004262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2624913",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Corneal and Contact Management Optometrist in Holland, MI
• Providers in Holland, MI by specialty
• Corneal and Contact Management Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.