CASSIDY WYATT OD
NPI 1760237465
Optometrist in Detroit, MI

Active since April 17, 2024PECOS EnrolledAccepts Medicare Assignment
4646 JOHN R ST, DETROIT, MI 48201(989) 335-3071 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Apr 17, 2024 (2 updates tracked since 2024).

About Cassidy Wyatt Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSIDY WYATT OD (NPI 1760237465) is an individual optometrist in Detroit, Michigan, licensed in Michigan (4901005824) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2019).

NPPES Registry Identity

NPI1760237465
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCASSIDY WYATTCredential: OD
Location Address4646 JOHN R STDetroit, MI 48201
Mailing Address4646 John R StDetroit, MI 48201-1916
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2019
Enumeration DateApril 17, 2024
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1760237465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MI · 4901005824
Definition
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.
4646 JOHN R ST, Detroit, MI 48201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cassidy Wyatt Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698213775
PECOS Enrollment IDI20240820003953
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassidy Wyatt's NPI number?

The NPI number for Cassidy Wyatt is 1760237465. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Cassidy Wyatt located?

Cassidy Wyatt practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (989) 335-3071.

What is Cassidy Wyatt's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Cassidy Wyatt enrolled in Medicare?

Yes. Cassidy Wyatt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cassidy Wyatt accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Cassidy Wyatt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cassidy Wyatt was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.