Provider Demographics
NPI:1235587601
Name:BREMKE, CASSIE MARIE (OD)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:MARIE
Last Name:BREMKE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3583 RESERVE COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-8180
Mailing Address - Country:US
Mailing Address - Phone:330-722-8300
Mailing Address - Fax:330-725-0445
Practice Address - Street 1:3583 RESERVE COMMONS DR
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-8180
Practice Address - Country:US
Practice Address - Phone:330-722-8300
Practice Address - Fax:330-725-0445
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6444/T3361152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist