Provider Demographics
NPI:1750720322
Name:MARTINSON, CASSANDRA K (OD)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:K
Last Name:MARTINSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:CASSANDRA
Other - Middle Name:K
Other - Last Name:HALVERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1313 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:IA
Mailing Address - Zip Code:50220-1511
Mailing Address - Country:US
Mailing Address - Phone:515-465-4203
Mailing Address - Fax:
Practice Address - Street 1:1313 2ND ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:IA
Practice Address - Zip Code:50220-1511
Practice Address - Country:US
Practice Address - Phone:515-465-4203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002576152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist