Individual provider Active NPI

Krista Kaspar

  • Optometrist
  • Succasunna, NJ
National Provider Identifier
1023692522
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00706000 Issued in NJ
Practice address
66 Sunset Strip Ste 107
Succasunna, NJ 07876-1362
Phone
(973) 584-2020
Fax
(973) 528-7199
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00706000 NJ Primary

Addresses

Primary practice location

66 Sunset Strip Ste 107
Succasunna, NJ 07876-1362

Mailing address

66 Sunset Strip Ste 107
Succasunna, NJ 07876-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804001277 NJ Practitioner - Optometry 6204230816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eyecare Professionals, LLCGroup PAC ID 8426318585, 3 clinicians

Practice addresses (Care Compare)

410 State Route 10
BLDG 202
Ledgewood, NJ 07852-9600
Phone (973) 584-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00706000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare Associates, LLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Advanced Eyecare Professionals LLC Optometrist CurrentSince Jul 5, 2021 Accepting new patients

Locations

410 State Route 10
Ste 202
Ledgewood, NJ 07852
Phone (973) 584-2020

66 Sunset Strip
Ste 107
Succasunna, NJ 07876
Phone (201) 584-4451

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1023692522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP STE 107",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP STE 107",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761362",
            "telephone_number": "973-584-2020",
            "fax_number": "973-528-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPAR",
        "first_name": "KRISTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00706000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

Verify at the official NPI Registry.