Individual
DR. ADAM W. CASSEDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
US ROUTES 219 250, MILL CREEK, WV 26280
(304) 335-2050
(304) 335-6158
Mailing address
PO BOX 247, MILL CREEK, WV 26280-0247
(304) 335-2050
(304) 335-6158
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1027-OD
WV
152WL0500X
Low Vision Rehabilitation Optometrist
1027-OD
WV
152WV0400X
Vision Therapy Optometrist
1027-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096270
AMERICAN OPTOMETRIC ASSOC
WV
01
—
1027-OD
OPTOMETRIST
WV
01
—
3001226
BRICK STREET WORKERS COMP
WV
05
—
3810005257
—
WV
01
—
FQ01027
HEALTH PLAN
WV
01
—
P00336360
RAILROAD MEDICARE
WV
Enumeration date
02/28/2006
Last updated
12/06/2007
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