Individual provider Active NPI

Cassandra Abram, O.D.

  • Optometrist
  • Turlock, CA
National Provider Identifier
1922411214
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14940 Issued in CA
Practice address
2010 W Monte Vista Ave
Turlock, CA 95382-9664
Phone
(209) 667-1213
Fax
(209) 656-1009
NPI assigned
Jun 4, 2014
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14940 CA Primary

Addresses

Primary practice location

2010 W Monte Vista Ave
Turlock, CA 95382-9664

Mailing address

2010 W Monte Vista Ave
Turlock, CA 95382-9664
Phone (209) 667-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20141031001896 CA Practitioner - Optometry 5597986745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations Family OptometryGroup PAC ID 6507293115, 2 clinicians

Practice addresses (Care Compare)

2010 W Monte Vista Ave
Turlock, CA 95382-9664
Phone (209) 667-1213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Optometry Optometrist CurrentSince Jun 22, 2023 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

2010 W Monte Vista Ave
Turlock, CA 95382
Phone (209) 667-1213

Organizations & group practices 2

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1922411214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W MONTE VISTA AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953829664",
            "telephone_number": "209-667-1213",
            "fax_number": "209-656-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W MONTE VISTA AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953829664",
            "telephone_number": "209-667-1213",
            "fax_number": "209-656-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAM",
        "first_name": "CASSANDRA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.