Provider Demographics
NPI:1881587251
Name:THOMAS, CASSANDRA JO (OD)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:JO
Last Name:THOMAS
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 1:771 HIGH RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17921-9257
Mailing Address - Country:US
Mailing Address - Phone:570-875-9758
Mailing Address - Fax:
Practice Address - Street 1:385 BANGOR JUNCTION RD
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:PA
Practice Address - Zip Code:18013-9369
Practice Address - Country:US
Practice Address - Phone:570-810-5209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program