Active NPI
Steven Kerry Kasinof, OD
- Optometrist
- Hagerstown, MD
National Provider Identifier
1295812055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0610
- Practice address
- 17301 Valley Mall Road
Hagerstown, MD 21742 - Phone
- (301) 582-1771
- Fax
- (301) 582-4681
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA0610 | MD | Primary |
| Optometrist | 152W00000X | 0618000615 | VA |
Addresses
Primary practice location
17301 Valley Mall Road
Hagerstown, MD 21742
Mailing address
19336 Leitersburg Pike
Hagerstown, MD 21742
Phone (717) 593-4521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52626901 | Other | MD | CAREFIRST BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000615 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295812055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19336 LEITERSBURG PIKE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21742",
"telephone_number": "717-593-4521",
"fax_number": "717-593-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17301 VALLEY MALL ROAD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21742",
"telephone_number": "301-582-1771",
"fax_number": "301-582-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASINOF",
"first_name": "STEVEN",
"middle_name": "KERRY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA0610",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000615",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "52626901",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.