DR. STEPHAN L CASSIDY O.D. NPI 1679630867

NPI Information

  • NPI: 1679630867
  • Provider Name: DR. STEPHAN L CASSIDY, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 450 NW GILMAN BLVD
    STE 104
    ISSAQUAH, WA
    ZIP 98027
  • Phone: (425) 392-8756

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NPI Details

DR. Stephan L Cassidy, O.D. is an optometrist in Issaquah, WA with 30 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Stephan L Cassidy, O.D. NPI is 1679630867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:1995

The provider's business location address is:

450 NW GILMAN BLVD
STE 104
ISSAQUAH, WA
ZIP 98027-483
Phone: (425) 392-8756
Fax: (425) 391-8631

The NPI 1679630867 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Imaging of retina (HCPCS:92134)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Imaging of optic nerve (HCPCS:92133)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • New patient complete exam of visual system (HCPCS:92004)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Photography of content of eyes (HCPCS:92285)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)

The enumeration date for this NPI number is 1/3/2007 and was last updated on 12/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist3190WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U60209MEDICARE UPINWASHINGTON
22028686MEDICAIDWASHINGTON
3G8864089MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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