Provider Demographics
NPI:1588891857
Name:ANDREW S CASS OD PA
Entity type:Organization
Organization Name:ANDREW S CASS OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:S
Authorized Official - Last Name:CASS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-234-4453
Mailing Address - Street 1:1502 CAYMAN WAY
Mailing Address - Street 2:C4
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-3203
Mailing Address - Country:US
Mailing Address - Phone:954-234-4453
Mailing Address - Fax:
Practice Address - Street 1:1502 CAYMAN WAY
Practice Address - Street 2:C4
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33066-3203
Practice Address - Country:US
Practice Address - Phone:954-234-4453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3879152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty