DR. EMMET MICHAEL CASSIDY (NPI# 1770544462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770544462 |
| Entity Type | Individual |
| Full Name | DR. EMMET MICHAEL CASSIDY |
| Credential | MD |
| Practice Address |
18646 Dixie Hwy Homewood IL 60430-3715 |
| Practice Telephone | 7086476635 |
| Practice Fax Number | 7086476649 |
| Mailing Telephone | 7086476635 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036092971 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036092971 | 05 | |
| IL | MEDICARE RAILROAD | P00379235 | 01 |
| IL | MEDICARE RAILROAD | 180046212 | 01 |
| IL | PTAN IL MEDICARE COOK COUNTY | 205785 | 01 |
| IL | THE ESC GROUP NPI | 1083684922 | 01 |
| IL | BLUE CROSS AND BLUE SHIELD | 01620861 | 01 |
| Street Address |
18646 DIXIE HWY |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538246996 | Mission Optical, Inc. | Ophthalmology | 18646 Dixie Hwy, Homewood, IL 60430-3715 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275832701 | Sachin Jain | Ophthalmology | 2640 W. 183rd Street, Homewood, IL 60430-6043 | 2011-03-23 |
| 1386871838 | Mark Logan Hill | Ophthalmology | 133 Raleigh Avenue, Homewood, AL 35209 | 2009-06-11 |
| 1700822590 | Lauren Saxe | Ophthalmology | 18440 Governors Hwy, Homewood, IL 60430-2911 | 2006-06-21 |
| 1104888486 | John Kwinn | Ophthalmology | 2640 W 183 St, Homewood, IL 60430 | 2006-04-04 |
| 1245291921 | David Lubeck | Ophthalmology | 2640 183rd St, `, Homewood, IL 60430-2914 | 2006-03-31 |
| 1144281817 | Loretta Rutkowski | Ophthalmology | 2640 W 183rd St, Homewood, IL 64030 | 2006-03-31 |
| 1811972813 | Denise Renee Barefield Pendleton | Ophthalmology | One Indeependence Plaza, Ste 810, Brookwood Ophthalmology Inc, Homewood, AL 35209 | 2005-12-13 |
| 1932580644 | Madeline Dianne Ripa | Ophthalmology | 2640 183rd St, Homewood, IL 60430-2914 | 2015-06-18 |
| 1518122035 | Shivan Hiralal Tekwani | Ophthalmology | 2640 183rd St, Homewood, IL 60430-2914 | 2008-07-24 |
| 1538246996 | Mission Optical, Inc. | Ophthalmology | 18646 Dixie Hwy, Homewood, IL 60430-3715 | 2006-11-01 |
| Find all providers in HOMEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.