Individual provider Active NPI

Jarod S Kastl, O.D.

  • Optometrist
  • Norfolk, NE
National Provider Identifier
1285685438
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1208 Issued in NE
Practice address
2106 Taylor Ave Ste 100
Norfolk, NE 68701
Phone
(402) 347-4767
NPI assigned
May 12, 2006
Last updated
Jun 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1208 NE Primary

Addresses

Primary practice location

2106 Taylor Ave Ste 100
Norfolk, NE 68701

Mailing address

2106 Taylor Ave
Ste 100
Norfolk, NE 68701-4635
Phone (402) 347-4767

Other practice location 1

2106 Taylor Ave Ste 100
Norfolk, NE 68701
Phone (402) 347-4767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20050720001025 NE Practitioner - Optometry 0244213734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2106 Taylor Ave
Suite 100
Norfolk, NE 68701-4635
Phone (402) 347-4767

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02269IAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Shopko Stores Operating Co. LLC Current Accepting new patients
Shopko Stores Operating Co. LLC CurrentSince May 5, 2006 Accepting new patients
Kastl Family Eyecare Inc. Optometrist CurrentSince Jul 8, 2019 Accepting new patients
Shopko Stores Operating Co. LLC CurrentSince May 5, 2006 Accepting new patients

Locations

100 S 66th St
Lincoln, NE 68510
Phone (402) 489-7148

4200 S 27th St
Lincoln, NE 68502
Phone (402) 421-2444

2005 Krenzien Dr
Norfolk, NE 68701
Phone (402) 379-1434

2106 Taylor Ave
Ste 100
Norfolk, NE 68701
Phone (402) 347-4767

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1285685438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 TAYLOR AVE",
            "address_2": "STE 100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014635",
            "telephone_number": "402-347-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 TAYLOR AVE STE 100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-347-4767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Taylor Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "68701",
            "country_code": "US",
            "telephone_number": "402-347-4767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASTL",
        "first_name": "JAROD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.