Individual provider Active NPI

Cassandra Jean Lappegaard, O.D.

  • Optometrist
  • Grand Forks, ND
National Provider Identifier
1962742627
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3452 Issued in MN
Practice address
3812 Fairview Dr
Grand Forks, ND 58201-7677
Phone
(701) 739-3999
NPI assigned
Feb 18, 2013
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10882T TX
Optometrist 152W00000X 712 ND
Optometrist 152W00000X TPOP105 FL
Optometrist 152W00000X 3452 MN Primary
Optometrist 152W00000X 3712-35 WI
Optometrist 152W00000X OPT1061 ME
Optometrist 152W00000X 0618003163 VA
Optometrist 152W00000X 009621 NY

Addresses

Primary practice location

3812 Fairview Dr
Grand Forks, ND 58201-7677

Mailing address

3812 Fairview Dr
Grand Forks, ND 58201-7677
Phone (701) 739-3999

Other names 1

  • Cassandra Jean Krueger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, FL, MN, VA, NY, DC7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20160316001100 TX Practitioner - Optometry 3779727995 Reassigns benefits to 5 organizations
I20211104000515 WI Practitioner - Optometry 3779727995 Reassigns benefits to 5 organizations
I20220705000633 FL Practitioner - Optometry 3779727995 Reassigns benefits to 1 organization
I20220918000048 MN Practitioner - Optometry 3779727995 Reassigns benefits to 5 organizations
I20221018003135 VA Practitioner - Optometry 3779727995 Reassigns benefits to 1 organization
I20240215000450 NY Practitioner - Optometry 3779727995 Reassigns benefits to 2 organizations
I20260209004039 DC Practitioner - Optometry 3779727995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4021 S Avenida de Las Palmas
Tucson, AZ 85730-4718

5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009621NYMDMental Health Counselor
712NDMDSocial Worker
3452MNMDMarriage & Family Therapist
TPOP105FLMDOptometrist
OPT1061MEMDOptometrist
10882TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagan Eye Clinic LLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Brownwood Optometrists, P.C. Optometrist CurrentSince Oct 13, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Wisconsin Vision, LLC Optometrist Current Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Department of Health & Human Services PHS IHS CurrentSince Oct 17, 2015 Accepting new patients
DJ-MN Inc Current Accepting new patients
First Texas Optometric PC Optometrist CurrentSince Oct 13, 2023 Accepting new patients
Wisconsin Vision, LLC Optometrist CurrentSince Oct 19, 2021 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Wisconsin Vision, LLC Optometrist CurrentSince Oct 19, 2021 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Nov 1, 2023 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Eagan Eye Clinic LLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
DJ-MN Inc CurrentSince May 26, 2023 Accepting new patients
New York Optometry Professional PLLC Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Eye Care Associates of SC LLC Optometrist CurrentSince Mar 28, 2023 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 17, 2023 Accepting new patients
Visionworks, Inc CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jun 22, 2022 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 30, 2022 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 17, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jun 22, 2022 Accepting new patients
Empire Vision Center, Inc CurrentSince Feb 1, 2024 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Feb 1, 2024 Accepting new patients
First Texas Optometric PC Optometrist CurrentSince Oct 13, 2023 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 28, 2026 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 30, 2022 Accepting new patients
Vision Pro II Inc Optometrist CurrentSince Sep 6, 2022 Accepting new patients
Stewart Optical LLC Past Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Lvctr PLLC Optometrist PastSince Sep 14, 2015 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Lifetime Vision Center, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist PastSince Jun 15, 2021 Accepting new patients

Locations (25 of 50)

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

2305 Oleander Blvd
Fort Pierce, FL 34982
Phone (772) 465-6616

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

350 E Devon Ave
Itasca, IL 60143

12 Bridge Sq
Ste 101
Anoka, MN 55303
Phone (763) 421-4334

435 S Grove St
Ste 2
Blue Earth, MN 56013
Phone (507) 235-5323

1178 Burnsville Ctr
#2036
Burnsville, MN 55306
Phone (952) 435-5011

6487 Cedar Hills Dr
Cannon Falls, MN 55009
Phone (507) 263-3949

425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200

1344 W Arrowhead Rd
Duluth, MN 55811
Phone (218) 728-6211

147 W Pearl St
Owatonna, MN 55060
Phone (507) 451-5300

3930 Cedar Grove Pkwy
Saint Paul, MN 55122
Phone (612) 454-5661

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

3455 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 722-2020

1329 W Davis St
Conroe, TX 77304
Phone (936) 441-3937

310 Early Blvd
Early, TX 76802
Phone (325) 643-1826

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

300 Northpark Dr
Ste 600
Kingwood, TX 77339
Phone (281) 360-1006

2401 N 16th St
Orange, TX 77630
Phone (409) 886-2292

Organizations & group practices 46

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.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1962742627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 FAIRVIEW DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017677",
            "telephone_number": "701-739-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 FAIRVIEW DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017677",
            "telephone_number": "701-739-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPPEGAARD",
        "first_name": "CASSANDRA",
        "middle_name": "JEAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10882T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "712",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP105",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3452",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3712-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1061",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003163",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "KRUEGER",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.