Active NPI
John D Kastl, OD, PC
- Optometrist
- Shawnee, OK
National Provider Identifier
1255629663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OK936
- Legal business name
- JOHN D KASTL, OD, PC
- Practice address
- 4901 N Kickapoo Ave
Suite 1626
Shawnee, OK 74804-1303 - Phone
- (405) 273-5014
- Fax
- (405) 273-5014
- NPI assigned
- Jul 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John D Kastl, OD
- Title
- Optometrist
- Phone
- (405) 273-5014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OK936 | OK | Primary |
Addresses
Primary practice location
4901 N Kickapoo Ave
Suite 1626
Shawnee, OK 74804-1303
Mailing address
4901 N Kickapoo Ave
Suite 1626
Shawnee, OK 74804-1303
Phone (405) 273-5014
National Provider Directory
National Provider DirectoryLocations
4901 N Kickapoo Ave
Ste 1626
Shawnee, OK 74804
Phone (405) 273-5014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311033600000",
"number": "1255629663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 N KICKAPOO AVE",
"address_2": "SUITE 1626",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041303",
"telephone_number": "405-273-5014",
"fax_number": "405-273-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 N KICKAPOO AVE",
"address_2": "SUITE 1626",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041303",
"telephone_number": "405-273-5014",
"fax_number": "405-273-5014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN D KASTL, OD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A",
"authorized_official_last_name": "KASTL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "405-273-5014",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OK",
"license": "OK936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.