Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassidy Wyatt, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760237465

Cassidy Wyatt, OD is an Optometry in Detroit, Michigan. Graduated from Ferris State College - College of Optometry in 2019, 7 years ago. Practices with Normandy Optical Company, Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Trained at
Ferris State College - College of Optometry
Licensed in
MI
In the registry since
2024
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4646 John R St
Detroit, MI 48201
Phone: (989) 335-3071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005824 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760237465
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 17, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated 2019 (7 years in practice)
Group practice Normandy Optical Company, Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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