Cass L. Clements, O.D., LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

641 Issued in MS

Legal business name

CASS L. CLEMENTS, O.D., LLC

Practice address

1200 E County Line Rd
Ste 164
Ridgeland, MS 39157-1904

Phone

(601) 956-6557

Fax

(601) 956-6559

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Cass L Clements, O.D.

Title

Owner

Phone

(601) 956-6557

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Eye Care of Ridgeland Doing business as

Locations

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1902156987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E COUNTY LINE RD",
            "address_2": "STE 164",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571904",
            "telephone_number": "601-956-6557",
            "fax_number": "601-956-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E COUNTY LINE RD",
            "address_2": "STE 164",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571904",
            "telephone_number": "601-956-6557",
            "fax_number": "601-956-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASS L. CLEMENTS, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "CASS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-956-6557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880188",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U77113",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care of Ridgeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Donnell Carter
• Miriam Danielle Carter, PHARMD
• William Larkin Carter, M.D.
• Charles Joseph Caskey, D. M.D.
• Curtis Patrick Caskey, D.M.D.
• Tavia McNair Cavett, M.S.W, L.C.S.W, CEAP
• Stephen P Cayer, OTR/L
• Center for Integrated Behavioral Innovations, LLC
• Heather Daniella Chadwick, SLP
• Dominique Roch Chagnon, DC

• Optometrist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.