Provider Demographics
NPI:1255802021
Name:ESPY, KASSANDRA (OD)
Entity type:Individual
Prefix:DR
First Name:KASSANDRA
Middle Name:
Last Name:ESPY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KASSANDRA
Other - Middle Name:
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1073 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3129
Mailing Address - Country:US
Mailing Address - Phone:814-333-6606
Mailing Address - Fax:
Practice Address - Street 1:9 E 1ST ST
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-2347
Practice Address - Country:US
Practice Address - Phone:814-677-2066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG004136152W00000X
VA0618002717152W00000X
SC2091152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist