Individual provider Active NPI

Cassidy Elizabeth Stewart

  • Optometrist
  • Marshall, MO
National Provider Identifier
1992483960
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2025019667 Issued in MO
Practice address
268 S Jefferson Ave
Marshall, MO 65340-2135
Phone
(660) 815-0204
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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 2025019667 MO Primary

Addresses

Primary practice location

268 S Jefferson Ave
Marshall, MO 65340-2135

Mailing address

268 S Jefferson Ave
Marshall, MO 65340-2135
Phone (660) 815-0204

Other practice location 1

1405 N Jefferson St
Carrollton, MO 64633-1945
Phone (660) 542-1333

Other practice location 2

1115 Washington St
Chillicothe, MO 64601-1306
Phone (660) 646-3937

Other practice location 3

431 S Main St
Brookfield, MO 64628-2146
Phone (660) 258-7409

Other practice location 4

614 E 9th St
Trenton, MO 64683-2211
Phone (660) 359-3957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250711002779 MO Practitioner - Optometry 5890200661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sloan Eyecare Center L.L.CGroup PAC ID 6103891825, shared by 5 NPIs, 8 clinicians

Practice addresses (Care Compare)

1115 Washington St
Chillicothe, MO 64601-1306
Phone (660) 646-3937

431 S Main St
Premier Eyecare Associates
Brookfield, MO 64628-2146
Phone (660) 258-7409

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sloan Eyecare Center L.L.C Optometrist CurrentSince Jul 14, 2025 Accepting new patients
Sloan Eyecare Center L.L.C Optometrist CurrentSince Jul 14, 2025 Accepting new patients
Sloan Eyecare Center LLC Optometrist CurrentSince Jul 14, 2025 Accepting new patients
Lally Eyecare Inc Optometrist CurrentSince Jul 11, 2025 Accepting new patients

Locations

431 S Main St
Brookfield, MO 64628
Phone (660) 258-7409

1405 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1333

1115 Washington St
Chillicothe, MO 64601
Phone (660) 258-7409

1904 N Baltimore St
Kirksville, MO 63501
Phone (660) 665-3564

268 S Jefferson Ave
Marshall, MO 65340
Phone (660) 886-2020

614 E 9th St
Trenton, MO 64683
Phone (660) 359-3957

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1992483960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 S JEFFERSON AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402135",
            "telephone_number": "660-815-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 S JEFFERSON AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402135",
            "telephone_number": "660-815-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "MO",
            "postal_code": "646331945",
            "country_code": "US",
            "telephone_number": "660-542-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 Washington St",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "MO",
            "postal_code": "646011306",
            "country_code": "US",
            "telephone_number": "660-646-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "431 S Main St",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "MO",
            "postal_code": "646282146",
            "country_code": "US",
            "telephone_number": "660-258-7409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MO",
            "postal_code": "646832211",
            "country_code": "US",
            "telephone_number": "660-359-3957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CASSIDY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2025019667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

Verify at the official NPI Registry.