Casella Eye Center, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

852 Issued in GA

Legal business name

CASELLA EYE CENTER, P.C.

Practice address

767 Broad St
Augusta, GA 30901-1329

Phone

(706) 722-0817

NPI assigned

Dec 5, 2006

Last updated

Apr 15, 2008By 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. Thomas Victor Casella, OD

Title

Ceo

Phone

(706) 722-0817

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1811055650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 BROAD ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011329",
            "telephone_number": "706-722-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 BROAD ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011329",
            "telephone_number": "706-722-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASELLA EYE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "CASELLA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-722-0817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DAG999",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Cary, MD
• Amber Colquitt Casado, MPAS, PA-C
• Tracy Casanova, PHD
• Heather Marie Case
• Laura Cockerham Case, WHNP-BC
• Benjamin Pascal Casella, O.D.
• Jennifer Hardy Casella, NP
• Joseph Cash, BC-HIS
• Nathan Cash
• Jacob Aaron Cashdollar

• Optometrist in Augusta, GA
• Providers in Augusta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.