Organization Active NPI

John D Kastl, OD, PC

  • Optometrist
  • Shawnee, OK
National Provider Identifier
1255629663
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK936 Issued in OK
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

Updated by the provider on Jul 19, 2011

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.