James Daniel Kaastrup I, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1371 Issued in WA

Practice address

4502 S Steele St
Suite 200
Tacoma, WA 98409-7242

Phone

(253) 471-8369

Fax

(253) 475-7767

NPI assigned

Dec 17, 2007

Last updated

Dec 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1093998775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 77TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707841",
            "telephone_number": "425-876-4322",
            "fax_number": "360-653-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 S STEELE ST",
            "address_2": "SUITE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097242",
            "telephone_number": "253-471-8369",
            "fax_number": "253-475-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAASTRUP",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.