Individual provider Active NPI

Cassandra Jo Thomas, OD

  • Optometrist
  • Bangor, PA
National Provider Identifier
1881587251
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004269 Issued in PA
Practice address
385 Bangor Junction Rd
Bangor, PA 18013-9369
Phone
(570) 810-5209
NPI assigned
Jun 2, 2025
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004269 PA Primary

Addresses

Primary practice location

385 Bangor Junction Rd
Bangor, PA 18013-9369

Mailing address

205 N 7TH St
Bangor, PA 18013-1734
Phone (570) 875-9758

Other practice location 1

281 Airport Rd
Hazle Township, PA 18202-3320
Phone (570) 754-0789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251006000567 PA Practitioner - Optometry 9436655735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

385 Bangor Junction Rd
Bangor, PA 18013-9369
Phone (610) 588-0129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Sandra M Krokos & Thomas P Kislan PC Optometrist Current Accepting new patients
DRS Sandra M Krokos & Thomas P Kislan PC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Dr Sandra M Krokos & Thomas P Kislan PC Optometrist CurrentSince Sep 1, 2025 Accepting new patients

Locations

385 Bangor Junction Rd
Bangor, PA 18013
Phone (610) 588-0129

281 Airport Rd
Hazle Township, PA 18202
Phone (570) 453-2020

245 S Prospect St
Nanticoke, PA 18634
Phone (570) 580-4084

541 W Bacon St
Pottsville, PA 17901
Phone (570) 621-4800

2942 Route 611
Ste 105
Tannersville, PA 18372
Phone (570) 421-3342

2942 Route 611
Ste 5
Tannersville, PA 18372
Phone (570) 421-3342

Organizations & group practices 3

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1881587251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N 7TH ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131734",
            "telephone_number": "570-875-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BANGOR JUNCTION RD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180139369",
            "telephone_number": "570-810-5209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Hazle Township",
            "state": "PA",
            "postal_code": "182023320",
            "country_code": "US",
            "telephone_number": "570-754-0789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CASSANDRA",
        "middle_name": "JO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, PA

Sources for this page

Verify at the official NPI Registry.